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General NPI Number Information
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NPI Number | 1376031013
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Entity Type | Organization
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Legal Business Name | EKAHI WELLNESS, LLC
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Dates
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Enumeration Date | 04/27/2018
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Last Update Date | 10/02/2019
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Provider Practice Location Address
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Address Line | 500 ALA MOANA BLVD STE 6D
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City | HONOLULU
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State | HI
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Zip | 96813
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Country | US
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Telephone | 808-777-4000
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Fax | 808-465-2505
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Provider Business Mailing Address
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Address Line | 500 ALA MOANA BLVD STE 6D
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City | HONOLULU
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State | HI
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Zip | 96813-4984
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Country | US
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Telephone | 808-777-4000
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Fax | 808-465-2505
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | ROBERT JOSEPH WALKER
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Credential | MS, MBA
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Telephone | 808-777-4000
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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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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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