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General NPI Number Information
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NPI Number | 1386855906
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Entity Type | Organization
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Legal Business Name | ACADEMY FOOT CENTER OF HAWAII, INC
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 12/07/2007
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Provider Practice Location Address
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Address Line | 1329 LUSITANA ST SUITE 801
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City | HONOLULU
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State | HI
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Zip | 96813-2429
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Country | US
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Telephone | 808-536-4335
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Fax | 808-537-9195
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Provider Business Mailing Address
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Address Line | 1329 LUSITANA ST SUITE 801
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City | HONOLULU
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State | HI
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Zip | 96813-2429
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Country | US
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Telephone | 808-536-4335
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Fax | 808-537-9195
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. GRACE D PASCUAL
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Credential | DPM
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Telephone | 808-536-4335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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