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General NPI Number Information
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NPI Number | 1891410650
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Entity Type | Organization
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Legal Business Name | 3E WELLNESS LLC
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Dates
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Enumeration Date | 10/05/2022
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Last Update Date | 07/04/2026
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Provider Practice Location Address
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Address Line | 4819 KILAUEA AVE STE 7
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City | HONOLULU
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State | HI
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Zip | 96816-5712
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Country | US
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Telephone | 808-620-5553
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Fax | 833-672-3405
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Provider Business Mailing Address
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Address Line | 4819 KILAUEA AVE STE 7
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City | HONOLULU
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State | HI
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Zip | 96816-5712
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Country | US
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Telephone | 808-620-5553
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Fax | 833-672-3405
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Authorized Official
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Title or Position | OWNER/DIETITIAN
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Name | STACEY BRESHEARS
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Credential | RD, LD, CDCES
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Telephone | 808-620-5553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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