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General NPI Number Information
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NPI Number | 1326775701
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Entity Type | Organization
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Legal Business Name | OHANA HEALTH LLC
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 11355 US HIGHWAY 87 S UNIT 2
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City | ADKINS
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State | TX
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Zip | 78101-1851
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Country | US
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Telephone | 210-201-4327
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Fax | 949-437-2183
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Provider Business Mailing Address
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Address Line | 11355 US HIGHWAY 87 S UNIT 2
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City | ADKINS
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State | TX
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Zip | 78101-1851
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Country | US
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Telephone | 210-201-4327
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER/OWNER
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Name | STEPHANIE M VACIANNA
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Credential | FNP-C
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Telephone | 210-201-4327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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