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General NPI Number Information
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NPI Number | 1447450077
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Entity Type | Organization
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Legal Business Name | ALOHA NUI FAMILY PRACTICE, LLC
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 05/02/2019
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Provider Practice Location Address
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Address Line | 69 LANIHULI ST
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City | HILO
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State | HI
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Zip | 96720-4142
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Country | US
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Telephone | 808-961-1400
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Fax | 808-961-1300
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Provider Business Mailing Address
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Address Line | 69 LANIHULI ST
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City | HILO
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State | HI
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Zip | 96720-4142
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Country | US
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Telephone | 808-961-1400
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Fax | 808-961-1300
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. STEFAN CARL HARMELING
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Credential | M.D.
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Telephone | 808-961-1400
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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 | H13250
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License Number State | HI
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