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General NPI Number Information
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NPI Number | 1306643259
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Entity Type | Organization
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Legal Business Name | PUNA PLANTATION HAWAII, LTD.
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 670 PONAHAWAI ST STE 211
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City | HILO
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State | HI
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Zip | 96720-7830
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Country | US
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Telephone | 808-865-0505
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Fax | 866-859-1618
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Provider Business Mailing Address
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Address Line | 50 E PUAINAKO ST
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City | HILO
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State | HI
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Zip | 96720-5243
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Country | US
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Telephone | 808-959-2849
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TOBY B TANIGUCHI
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Credential |
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Telephone | 808-989-5466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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