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General NPI Number Information
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NPI Number | 1306628573
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Entity Type | Organization
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Legal Business Name | OHANA ACUPUNCTURE CLINIC, LLC
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Dates
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Enumeration Date | 10/20/2023
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Last Update Date | 10/20/2023
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Provider Practice Location Address
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Address Line | 1188 BISHOP ST STE 2308
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City | HONOLULU
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State | HI
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Zip | 96813-3309
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Country | US
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Telephone | 808-772-1143
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Fax |
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Provider Business Mailing Address
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Address Line | 700 RICHARDS ST APT 2401
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City | HONOLULU
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State | HI
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Zip | 96813-4621
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Country | US
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Telephone | 808-772-1143
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTUIRST
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Name | SOOK KIM
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Credential |
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Telephone | 808-772-1143
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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 |
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License Number State |
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