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General NPI Number Information
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NPI Number | 1174366991
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Entity Type | Organization
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Legal Business Name | OAHU HOLISTIC MEDICINE LLC
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Dates
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Enumeration Date | 06/18/2024
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 354 ULUNIU ST STE 303
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City | KAILUA
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State | HI
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Zip | 96734-2533
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Country | US
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Telephone | 808-501-8176
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Fax |
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Provider Business Mailing Address
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Address Line | 354 ULUNIU ST STE 303
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City | KAILUA
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State | HI
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Zip | 96734-2533
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Country | US
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Telephone | 808-501-8176
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF ORTHOPEDICS
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Name | DAVID SANTANDER
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Credential | DTCM, L.AC.
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Telephone | 808-404-4037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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