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General NPI Number Information
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NPI Number | 1235853391
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Entity Type | Organization
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Legal Business Name | WEST OAHU ACUPUNCTURE AND INTEGRATIVE MEDICINE LLC
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 91-1123 KEAUNUI DR STE 223
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City | EWA BEACH
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State | HI
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Zip | 96706-6369
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Country | US
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Telephone | 808-638-4559
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Fax | 781-998-2412
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Provider Business Mailing Address
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Address Line | 91-1123 KEAUNUI DR STE 223
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City | EWA BEACH
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State | HI
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Zip | 96706-6369
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Country | US
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Telephone | 808-638-4559
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | THU YEN MAC
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Credential | LIC.AC., DIPL. OM
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Telephone | 617-966-7551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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