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General NPI Number Information
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NPI Number | 1871373688
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Entity Type | Organization
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Legal Business Name | OHIMAA HI LLC
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Dates
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Enumeration Date | 10/02/2023
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Last Update Date | 10/02/2023
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Provider Practice Location Address
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Address Line | 200 N VINEYARD BLVD # A3255613
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City | HONOLULU
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State | HI
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Zip | 96817-3950
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Country | US
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Telephone | 762-248-6111
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Fax |
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Provider Business Mailing Address
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Address Line | 200 N VINEYARD BLVD # A3255613
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City | HONOLULU
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State | HI
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Zip | 96817-3950
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Country | US
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Telephone | 762-248-6111
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AKUA AGYEMAN
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Credential | MD
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Telephone | 671-686-9860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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