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General NPI Number Information
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NPI Number | 1750271235
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Entity Type | Organization
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Legal Business Name | DR. FOOT HAWAII LLC
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 151 HEKILI ST STE 120
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City | KAILUA
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State | HI
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Zip | 96734-2820
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Country | US
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Telephone | 808-888-0431
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Fax |
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Provider Business Mailing Address
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Address Line | 151 HEKILI ST STE 120
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City | KAILUA
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State | HI
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Zip | 96734-2820
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Country | US
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Telephone | 808-888-0431
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. JENNIFER LEE
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Credential | DPM
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Telephone | 808-888-0431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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