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General NPI Number Information
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NPI Number | 1790998185
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Entity Type | Organization
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Legal Business Name | ALOHA HOME HEALTH CARE
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 94-547 UKEE ST. STE #117
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City | WAIPAHU
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State | HI
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Zip | 96797
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Country | US
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Telephone | 808-677-2298
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Fax | 808-676-8734
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Provider Business Mailing Address
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Address Line | 94-547 UKEE ST. STE #117
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City | WAIPAHU
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State | HI
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Zip | 96797
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Country | US
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Telephone | 808-677-2298
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Fax | 808-676-8734
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Authorized Official
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Title or Position | OWNER
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Name | MR. ENRIQUE TOBIAS DIZON
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Credential |
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Telephone | 808-677-2298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 10508976
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License Number State | HI
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