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General NPI Number Information
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NPI Number | 1376897348
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Entity Type | Organization
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Legal Business Name | DR. HA'S CLINIC OF ACUPUNCTURE & HERBS
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Dates
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Enumeration Date | 10/30/2012
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Last Update Date | 10/30/2012
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Provider Practice Location Address
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Address Line | 1540 MAKALOA ST SUITE 415
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City | HONOLULU
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State | HI
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Zip | 96814-3212
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Country | US
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Telephone | 808-591-5797
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Fax | 808-591-9799
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Provider Business Mailing Address
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Address Line | 1540 MAKALOA ST. SUITE 415
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City | HONOLULU
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State | HI
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Zip | 96814
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Country | US
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Telephone | 808-591-5797
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Fax | 808-591-9799
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Authorized Official
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Title or Position | OWNER
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Name | JUNG AE HA
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Credential |
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Telephone | 808-591-5797
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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 | 649
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License Number State | HI
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