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General NPI Number Information
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NPI Number | 1679233019
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Entity Type | Organization
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Legal Business Name | WAVES OF ALOHA LLC
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Dates
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Enumeration Date | 12/27/2021
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 94-416 UKEE ST STE 103
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City | WAIPAHU
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State | HI
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Zip | 96797-4463
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Country | US
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Telephone | 310-988-9190
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Fax |
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Provider Business Mailing Address
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Address Line | 94-416 UKEE ST STE 103
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City | WAIPAHU
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State | HI
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Zip | 96797-4463
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Country | US
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Telephone | 310-988-9190
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT/OWNER
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Name | TOSHIYUKI NOMURA
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Credential |
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Telephone | 310-988-9190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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