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General NPI Number Information
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NPI Number | 1437843521
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Entity Type | Organization
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Legal Business Name | KA'OHAO CHIROPRACTIC LLC
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Dates
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Enumeration Date | 06/02/2023
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 354 ULUNIU ST STE 404
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City | KAILUA
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State | HI
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Zip | 96734-2534
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Country | US
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Telephone | 808-262-2226
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Fax | 808-312-3383
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Provider Business Mailing Address
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Address Line | 354 ULUNIU ST STE 404
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City | KAILUA
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State | HI
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Zip | 96734-2534
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Country | US
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Telephone | 808-262-2226
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Fax | 808-312-3383
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | CARASTONA KAZAN POPPAS HEATHERS
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Credential | DC
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Telephone | 808-260-7909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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