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General NPI Number Information
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NPI Number | 1841167582
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Entity Type | Organization
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Legal Business Name | ROGUE VALLEY NATURAL MEDICINE, LLC
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Dates
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Enumeration Date | 10/18/2025
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 3-3100 KUHIO HWY STE C4
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City | LIHUE
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State | HI
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Zip | 96766-1153
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Country | US
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Telephone | 808-482-0445
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Fax |
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Provider Business Mailing Address
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Address Line | 5838 HAAHEO ST
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City | KAPAA
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State | HI
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Zip | 96746-9648
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Country | US
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Telephone | 808-482-0445
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ZACHARY PAUL ALLEN
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Credential | ND
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Telephone | 808-482-0445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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