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General NPI Number Information
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NPI Number | 1407540149
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Entity Type | Organization
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Legal Business Name | ALOHI CLINIC, LLC
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Dates
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Enumeration Date | 06/06/2023
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 94-229 WAIPAHU DEPOT ST STE 308
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City | WAIPAHU
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State | HI
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Zip | 96797-3033
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Country | US
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Telephone | 808-582-8881
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Fax |
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Provider Business Mailing Address
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Address Line | 60 N BERETANIA ST APT 2003
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City | HONOLULU
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State | HI
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Zip | 96817-4759
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Country | US
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Telephone | 808-780-8147
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAUL COELHO
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Credential | DNP, AGCNS, APRN-RX
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Telephone | 808-582-8881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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