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General NPI Number Information
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NPI Number | 1376448738
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Entity Type | Organization
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Legal Business Name | HAILAN LLC DBA JOE KIM KIMCHEE
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Dates
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Enumeration Date | 10/13/2026
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Last Update Date | 10/13/2026
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Provider Practice Location Address
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Address Line | 819 MOOWAA ST STE 112
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City | HONOLULU
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State | HI
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Zip | 96817-4432
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Country | US
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Telephone | 808-351-1004
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Fax |
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Provider Business Mailing Address
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Address Line | 3225 CASTLE ST
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City | HONOLULU
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State | HI
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Zip | 96815-3828
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Country | US
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Telephone | 808-351-1004
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MS. SEAN SONG
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Credential |
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Telephone | 808-351-1004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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