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General NPI Number Information
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NPI Number | 1265777585
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Entity Type | Organization
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Legal Business Name | CHIRO ON CALL
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Dates
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Enumeration Date | 11/28/2012
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Last Update Date | 12/06/2012
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Provider Practice Location Address
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Address Line | 73-4868 MANU MELE ST
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City | KAILUA KONA
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State | HI
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Zip | 96740-9222
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Country | US
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Telephone | 808-854-1360
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Fax |
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Provider Business Mailing Address
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Address Line | 75-5660 KOPIKO ST C7-280
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City | KAILUA KONA
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State | HI
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Zip | 96740-3611
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Country | US
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Telephone | 808-854-1360
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMIN NIKKHOO
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Credential | D.C.
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Telephone | 808-854-1360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC1035
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License Number State | HI
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