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General NPI Number Information
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NPI Number | 1881456796
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Entity Type | Organization
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Legal Business Name | NORTHSHORE ACUPUNTURE KAUA'I
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Dates
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Enumeration Date | 01/25/2024
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 2430B OKA ST
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City | KILAUEA
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State | HI
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Zip | 96754-5332
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Country | US
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Telephone | 808-300-4545
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Fax | 808-320-7014
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Provider Business Mailing Address
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Address Line | 2430B OKA ST
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City | KILAUEA
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State | HI
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Zip | 96754-5332
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Country | US
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Telephone | 808-300-4545
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Fax | 808-320-7014
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY AMAS
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Credential | LAC
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Telephone | 425-231-3058
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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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