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General NPI Number Information
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NPI Number | 1770490740
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Entity Type | Organization
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Legal Business Name | KAIWA WELLNESS, LLC
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 161 ACHO TASI ST
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City | TAMUNING
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State | GU
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Zip | 96913-3116
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Country | US
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Telephone | 671-480-5034
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Fax |
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Provider Business Mailing Address
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Address Line | 285 FARENHOLT AVE STE 303 PMB 1941
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City | TAMUNING
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State | GU
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Zip | 96913
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Country | US
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Telephone | 671-480-5034
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. MEGUMI HOMMA
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Credential | D.C.
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Telephone | 671-480-5034
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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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