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General NPI Number Information
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NPI Number | 1356214704
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Entity Type | Organization
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Legal Business Name | OHANA MANA NETWORK FOR NEUROMETABOLIC WELLNESS LLC
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 10/11/2025
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Provider Practice Location Address
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Address Line | 1511 NUUANU AVE APT 1237
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City | HONOLULU
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State | HI
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Zip | 96817-3713
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Country | US
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Telephone | 808-295-4021
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Fax | 808-666-9212
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Provider Business Mailing Address
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Address Line | 1309 COFFEEN AVE STE 1200
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City | SHERIDAN
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State | WY
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Zip | 82801-5777
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Country | US
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Telephone | 307-335-4968
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Fax | 307-312-3277
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Authorized Official
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Title or Position | FOUNDER, CEO, MEDICAL DIRECTOR
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Name | DR. TIFFANY HOKE
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Credential | DNP, APRN-RX, AGACNP
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Telephone | 307-335-4968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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