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General NPI Number Information
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NPI Number | 1720372337
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Entity Type | Individual
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Provider Name | MARLENE WEISS
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Gender | Female
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Dates
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Enumeration Date | 06/01/2011
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Last Update Date | 06/01/2011
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Provider Practice Location Address
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Address Line | 4-1558 KUHIO HWY
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City | KAPAA
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State | HI
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Zip | 96746-1856
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Country | US
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Telephone | 808-652-8752
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Fax |
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Provider Business Mailing Address
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Address Line | 4524 KAPUNA RD
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City | KILAUEA
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State | HI
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Zip | 96754-5502
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Country | US
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Telephone | 808-652-8752
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 855
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License Number State | HI
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