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General NPI Number Information
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NPI Number | 1831341213
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Entity Type | Organization
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Legal Business Name | CACHOLA MEDICAL CLINIC
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Dates
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Enumeration Date | 10/16/2008
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Last Update Date | 10/16/2008
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Provider Practice Location Address
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Address Line | 936 KALIHI ST
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City | HONOLULU
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State | HI
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Zip | 96819-4069
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Country | US
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Telephone | 808-845-9955
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Fax | 808-845-1783
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Provider Business Mailing Address
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Address Line | 936 KALIHI ST
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City | HONOLULU
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State | HI
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Zip | 96819-4069
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Country | US
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Telephone | 808-845-9955
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Fax | 808-845-1783
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. ERLINDA M. CACHOLA
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Credential | MD
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Telephone | 808-845-9955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | HI
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