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General NPI Number Information
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NPI Number | 1174684575
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Entity Type | Organization
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Legal Business Name | HOLISTIC MEDICAL CENTER INC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 06/12/2019
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Provider Practice Location Address
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Address Line | 50 S BERETANIA ST SUITE C 119 A
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City | HONOLULU
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State | HI
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Zip | 96813-2208
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Country | US
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Telephone | 808-537-3313
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Fax |
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Provider Business Mailing Address
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Address Line | 50 SOUTH BERETANIA ST STE C119A
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City | HONOLULU
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State | HI
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Zip | 96813
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Country | US
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Telephone | 808-537-3311
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Fax | 808-537-3313
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. PRITAM S TAPRYAL
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Credential | MD
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Telephone | 808-537-3311
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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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