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General NPI Number Information
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NPI Number | 1770042160
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Entity Type | Organization
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Legal Business Name | GARZA WELLNESS CARE CENTER, LLC
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Dates
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Enumeration Date | 03/15/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 1744 LILIHA ST. SUITE #201
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City | HONOLULU
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State | HI
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Zip | 96817
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Country | US
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Telephone | 808-533-2425
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Fax |
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Provider Business Mailing Address
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Address Line | 1744 LILIHA ST. SUITE #201
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City | HONOLULU
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State | HI
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Zip | 96817
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Country | US
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Telephone | 808-533-2425
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Fax |
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Authorized Official
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Title or Position | ASSISTANT
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Name | MRS. LIANOKEOLA ELIANA MORA-DUQUETTE
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Credential |
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Telephone | 808-392-6773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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