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General NPI Number Information
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NPI Number | 1821971078
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Entity Type | Organization
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Legal Business Name | OHANAMED VIRTUAL URGENT CARE LLC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 1003 BISHOP ST STE 2700 #609
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City | HONOLULU
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State | HI
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Zip | 96813-6462
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Country | US
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Telephone | 808-468-5779
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Fax |
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Provider Business Mailing Address
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Address Line | 1003 BISHOP ST STE 2700 PRIVATE MAIL BOX HON 609
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City | HONOLULU
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State | HI
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Zip | 96813-6475
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Country | US
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Telephone | 808-468-5779
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Fax |
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Authorized Official
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Title or Position | OWNER/APRN HAWAII
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Name | KYLE NEFZGER
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Credential | APRN, FNP-C
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Telephone | 808-468-5779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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