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General NPI Number Information
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NPI Number | 1477369197
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Entity Type | Organization
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Legal Business Name | WLL OHANA LLC
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 6700 KALANIANAOLE HWY STE 216A
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City | HONOLULU
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State | HI
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Zip | 96825-1279
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Country | US
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Telephone | 804-300-0948
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Fax |
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Provider Business Mailing Address
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Address Line | 1045 KAMEHAME DR
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City | HONOLULU
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State | HI
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Zip | 96825-2860
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUI-YU CHEN
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Credential | DMD
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Telephone | 804-300-0948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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