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General NPI Number Information
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NPI Number | 1841598539
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Entity Type | Organization
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Legal Business Name | STUART YANNELL
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Dates
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Enumeration Date | 03/04/2011
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Last Update Date | 03/04/2011
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Provider Practice Location Address
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Address Line | 30 AHUWALE PL
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City | MAKAWAO
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State | HI
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Zip | 96768-8860
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Country | US
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Telephone | 808-280-9001
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Fax |
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Provider Business Mailing Address
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Address Line | 30 AHUWALE PL
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City | MAKAWAO
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State | HI
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Zip | 96768-8860
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Country | US
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Telephone | 808-280-9001
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Fax |
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Authorized Official
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Title or Position | ORGANIZER
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Name | MR. IAN YANNELL
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Credential | L.AC
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Telephone | 808-280-9001
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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 | 966
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 965
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License Number State | HI
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