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General NPI Number Information
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NPI Number | 1659938330
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Entity Type | Organization
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Legal Business Name | LAPAAU COMMUNITY ACUPUNCTURE
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Dates
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Enumeration Date | 05/28/2019
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Last Update Date | 05/28/2019
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Provider Practice Location Address
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Address Line | 33 CENTRAL AVE
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City | WAILUKU
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State | HI
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Zip | 96793-1702
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Country | US
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Telephone | 808-868-6052
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Fax | 888-241-9190
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Provider Business Mailing Address
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Address Line | 33 CENTRAL AVE
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City | WAILUKU
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State | HI
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Zip | 96793-1702
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Country | US
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Telephone | 808-868-6052
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Fax | 888-241-9190
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Authorized Official
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Title or Position | PRESIDENT, DIRECTOR
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Name | DR. DEBORAH JEAN MCMENEMY
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Credential | D.AC., L.AC., DAOM
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Telephone | 808-868-6052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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