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General NPI Number Information
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NPI Number | 1356795199
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Entity Type | Organization
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Legal Business Name | 808 WELLNESS INC
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Dates
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Enumeration Date | 04/18/2016
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Last Update Date | 04/18/2016
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Provider Practice Location Address
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Address Line | 2439 S KIHEI RD 208B
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City | KIHEI
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State | HI
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Zip | 96753-7283
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Country | US
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Telephone | 808-875-4325
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Fax | 808-875-4325
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Provider Business Mailing Address
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Address Line | 2439 S KIHEI RD 208B
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City | KIHEI
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State | HI
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Zip | 96753-7283
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Country | US
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Telephone | 808-875-4325
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Fax | 808-875-4325
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Authorized Official
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Title or Position | OWNER / ACUPUNCTURIST
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Name | ALAN M SCHROEPFER
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Credential | LAC
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Telephone | 808-875-4325
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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 | 976
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License Number State | HI
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