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General NPI Number Information
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NPI Number | 1154296390
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Entity Type | Organization
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Legal Business Name | OHANA URGENT CARE LLC
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 53 S PUUNENE AVE STE 108
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City | KAHULUI
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State | HI
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Zip | 96732-2192
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Country | US
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Telephone | 808-333-2420
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Fax | 808-748-3311
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Provider Business Mailing Address
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Address Line | PO BOX 700127
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City | KAPOLEI
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State | HI
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Zip | 96709-0127
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Country | US
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Telephone | 808-949-9585
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Fax | 808-748-3311
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JASON CHAN
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Credential | PA-C
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Telephone | 808-333-2420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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