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General NPI Number Information
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NPI Number | 1215217401
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Entity Type | Organization
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Legal Business Name | IAOMAI 4 LLC
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Dates
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Enumeration Date | 08/19/2011
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 5330 KOLOA RD STE 2
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City | KOLOA
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State | HI
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Zip | 96756-8624
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Country | US
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Telephone | 808-742-7512
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Fax | 808-245-7256
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Provider Business Mailing Address
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Address Line | PO BOX 3753
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City | LIHUE
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State | HI
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Zip | 96766-6753
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Country | US
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Telephone | 808-639-1891
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LIANNE MALAPIT
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Credential | PHARM. D.
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Telephone | 808-639-1891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY806
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License Number State | HI
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