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General NPI Number Information
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NPI Number | 1215362868
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Entity Type | Organization
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Legal Business Name | ASIAN HORIZONS, LLC
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Dates
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Enumeration Date | 09/13/2013
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Last Update Date | 09/30/2013
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Provider Practice Location Address
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Address Line | 1611 KEEAUMOKU ST #205
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City | HONOLULU
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State | HI
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Zip | 96822-4352
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Country | US
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Telephone | 808-220-0934
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Fax | 808-356-1611
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Provider Business Mailing Address
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Address Line | 1611 KEEAUMOKU ST #205
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City | HONOLULU
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State | HI
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Zip | 96822-4352
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Country | US
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Telephone | 808-220-0934
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Fax | 808-356-1611
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | MR. COREY WONG
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Credential | L.AC.
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Telephone | 808-220-0934
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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 | AC 2830
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ACU-183
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License Number State | HI
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