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General NPI Number Information
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NPI Number | 1225329329
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Entity Type | Organization
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Legal Business Name | ALOHALANI MEDICAL SERVICES, LLC
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Dates
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Enumeration Date | 04/22/2011
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Last Update Date | 04/22/2011
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Provider Practice Location Address
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Address Line | 2043 PUNA ST
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City | HONOLULU
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State | HI
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Zip | 96817-1519
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Country | US
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Telephone | 808-224-6587
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Fax |
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Provider Business Mailing Address
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Address Line | 2043 PUNA ST
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City | HONOLULU
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State | HI
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Zip | 96817-1519
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Country | US
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Telephone | 808-224-6587
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. MARK Y LIU
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Credential | D.O.
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Telephone | 808-224-6587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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