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General NPI Number Information
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NPI Number | 1396315164
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Entity Type | Organization
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Legal Business Name | WORK WELL LIVE WELL LLC
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Dates
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Enumeration Date | 06/25/2021
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 1301 PUNCHBOWL ST
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City | HONOLULU
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State | HI
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Zip | 96813-2402
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Country | US
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Telephone | 808-366-8167
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Fax | 855-437-1594
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Provider Business Mailing Address
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Address Line | 46-036 KAMEHAMEHA HWY UNIT 1099
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City | KANEOHE
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State | HI
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Zip | 96744-7845
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Country | US
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Telephone | 808-366-8167
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Fax | 855-347-1594
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Authorized Official
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Title or Position | OWNER
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Name | LAN T. NGUYEN
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Credential | MD
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Telephone | 808-722-7744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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