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General NPI Number Information
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NPI Number | 1861199366
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Entity Type | Organization
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Legal Business Name | KAUAI OPTICS LLC
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Dates
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Enumeration Date | 02/14/2023
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 4-831 KUHIO HWY STE 434
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City | KAPAA
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State | HI
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Zip | 96746-1574
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Country | US
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Telephone | 808-822-3733
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Fax |
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Provider Business Mailing Address
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Address Line | 4-831 KUHIO HWY STE 434
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City | KAPAA
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State | HI
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Zip | 96746-1574
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Country | US
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Telephone | 808-822-3733
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. NICHOLAS KLAUBA
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Credential |
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Telephone | 808-822-3733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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