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General NPI Number Information
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NPI Number | 1194052589
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Entity Type | Organization
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Legal Business Name | AKAMAI FOOT DOCTOR, LLC
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 01/18/2011
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Provider Practice Location Address
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Address Line | 932 WARD AVE SUITE 400
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City | HONOLULU
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State | HI
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Zip | 96814-2131
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Country | US
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Telephone | 808-942-3644
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Fax | 808-955-7970
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Provider Business Mailing Address
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Address Line | 1380 LUSITANA ST SUITE 608
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City | HONOLULU
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State | HI
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Zip | 96813-2449
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Country | US
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Telephone | 808-942-3644
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Fax | 808-955-7970
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | DR. NATHALIE E SOWERS
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Credential | DPM
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Telephone | 808-942-3644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO152
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License Number State | HI
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