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General NPI Number Information
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NPI Number | 1770906182
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Entity Type | Individual
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Provider Name | AMBER BLOOM D.C.
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Gender | Female
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Dates
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Enumeration Date | 01/22/2014
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 2525 DATE ST APT 4004
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City | HONOLULU
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State | HI
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Zip | 96826-5434
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Country | US
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Telephone | 808-861-0494
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 DATE ST APT 4004
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City | HONOLULU
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State | HI
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Zip | 96826-5434
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Country | US
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Telephone | 808-861-0494
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DC-1575
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1788
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License Number State | LA
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