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General NPI Number Information
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NPI Number | 1366513483
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Entity Type | Organization
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Legal Business Name | VIET-HOA, INC.
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Dates
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Enumeration Date | 11/11/2006
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Last Update Date | 04/08/2012
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Provider Practice Location Address
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Address Line | 1125 MAUNAKEA ST
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City | HONOLULU
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State | HI
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Zip | 96817-5132
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Country | US
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Telephone | 808-523-5499
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Fax | 808-523-5499
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Provider Business Mailing Address
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Address Line | 1125 MAUNAKEA ST
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City | HONOLULU
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State | HI
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Zip | 96817-5132
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Country | US
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Telephone | 808-523-5499
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Fax | 808-523-5499
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MR. WARREN WONG
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Credential | D.AC.
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Telephone | 808-523-5499
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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 | ACU-408
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License Number State | HI
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