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General NPI Number Information
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NPI Number | 1255293908
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Entity Type | Organization
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Legal Business Name | BUMP AND BEYOND LLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 95-720 LANIKUHANA AVE STE 220
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City | MILILANI
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State | HI
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Zip | 96789-2984
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Country | US
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Telephone | 808-762-0261
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Fax |
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Provider Business Mailing Address
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Address Line | 95-720 LANIKUHANA AVE STE 220
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City | MILILANI
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State | HI
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Zip | 96789-2984
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Country | US
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Telephone | 808-762-0261
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA LARIEGO
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Credential | APRN
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Telephone | 808-762-0261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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