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General NPI Number Information
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NPI Number | 1609486240
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTH CONNECTION LLC
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Dates
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Enumeration Date | 08/07/2020
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 400 HUALANI ST STE 191B
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City | HILO
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State | HI
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Zip | 96720-4339
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Country | US
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Telephone | 808-315-2710
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Fax | 808-935-9246
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Provider Business Mailing Address
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Address Line | 400 HUALANI ST STE 191B
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City | HILO
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State | HI
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Zip | 96720-4339
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Country | US
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Telephone | 808-315-2710
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Fax | 808-935-9246
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. LAURENCE EUGENE BADGLEY
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Credential | MD
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Telephone | 707-499-2366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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