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General NPI Number Information
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NPI Number | 1770798266
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Entity Type | Organization
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Legal Business Name | WINDWARD WELLNESS LLC
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 970 N KALAHEO AVE SUITE C-315
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City | KAILUA
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State | HI
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Zip | 96734-1801
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Country | US
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Telephone | 808-254-5577
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Fax | 808-254-5579
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Provider Business Mailing Address
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Address Line | 970 N KALAHEO AVE SUITE C-315
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City | KAILUA
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State | HI
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Zip | 96734-1801
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Country | US
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Telephone | 808-254-5577
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Fax | 808-254-5579
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHELLE LEILANI HILL
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Credential | D.C., LAC
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Telephone | 808-254-5577
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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 | DC1084
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License Number State | HI
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