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General NPI Number Information
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NPI Number | 1437447547
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Entity Type | Individual
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Provider Name | ALLISON KAY GANDRE N.D.
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Gender | Female
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Dates
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Enumeration Date | 07/11/2011
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Last Update Date | 01/24/2013
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Provider Practice Location Address
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Address Line | 407 ULUNIU ST STE 412 KAILUA MEDICAL ARTS BLDG
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City | KAILUA
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State | HI
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Zip | 96734
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Country | US
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Telephone | 808-421-7753
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Fax | 808-230-2476
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Provider Business Mailing Address
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Address Line | 1144 KOKO HEAD AVE SUITE 201
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City | HONOLULU
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State | HI
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Zip | 96816
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Country | US
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Telephone | 808-421-7753
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Fax | 808-735-5505
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND 221
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT00001639
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License Number State | WA
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