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General NPI Number Information
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NPI Number | 1750185963
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Entity Type | Organization
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Legal Business Name | CHAD AHIA MD LLC
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 64-1032 MAMALAHOA HWY UNIT A
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City | HONOMU
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State | HI
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Zip | 96728
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Country | US
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Telephone | 808-238-0082
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 352
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City | HONOMU
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State | HI
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Zip | 96728-0352
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Country | US
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Telephone | 808-238-0082
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. CHAD LM AHIA
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Credential | MD, MPH
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Telephone | 808-430-8602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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