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General NPI Number Information
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NPI Number | 1780712521
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Entity Type | Organization
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Legal Business Name | DREAMWALK CORP.
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 41 LAIMANA ST
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City | HILO
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State | HI
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Zip | 96720-2542
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Country | US
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Telephone | 808-969-3100
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Fax | 808-935-3900
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Provider Business Mailing Address
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Address Line | 41 LAIMANA ST
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City | HILO
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State | HI
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Zip | 96720-2542
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Country | US
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Telephone | 808-969-3100
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Fax | 808-935-3900
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Authorized Official
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Title or Position | PRESIDENT-OWNER
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Name | MR. PHILIP CHONG
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Credential | CPO
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Telephone | 808-969-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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