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General NPI Number Information
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NPI Number | 1871900340
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Entity Type | Organization
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Legal Business Name | ACUFIT
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Dates
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Enumeration Date | 07/16/2014
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Last Update Date | 07/16/2014
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Provider Practice Location Address
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Address Line | 4747 KILAUEA AVE STE 213
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City | HONOLULU
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State | HI
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Zip | 96816-5308
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Country | US
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Telephone | 808-597-6203
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Fax |
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Provider Business Mailing Address
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Address Line | 4119 PAHOA AVE
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City | HONOLULU
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State | HI
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Zip | 96816-4638
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Country | US
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Telephone | 808-597-6203
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE KELLNER
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Credential |
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Telephone | 808-597-6203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 13128
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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 | 1096
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License Number State | HI
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