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NPI 1568685808

NPI 1568685808 : YAMAUCHI CHIROPRACTIC, INC. : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1568685808
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    Entity Type          |    Organization 
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    Legal Business Name  |    YAMAUCHI CHIROPRACTIC, INC. 
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Dates
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    Enumeration Date     |    04/11/2007
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    Last Update Date     |    10/01/2007
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Provider Practice Location Address
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    Address Line         |    1221 KAPIOLANI BLVD SUITE 525
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96814-3503
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    Country              |    US
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    Telephone            |    808-593-9941
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    Fax                  |    808-593-9941
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Provider Business Mailing Address
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    Address Line         |    1221 KAPIOLANI BLVD SUITE 525
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96814-3503
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    Country              |    US
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    Telephone            |    808-593-9941
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    Fax                  |    808-593-9941
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. DALE K YAMAUCHI 
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    Credential           |    D.C.
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    Telephone            |    808-593-9941
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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       |    DC-290
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    License Number State |    HI
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