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General NPI Number Information
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NPI Number | 1922109925
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Entity Type | Organization
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Legal Business Name | PEAK PERFORMANCE CHIROPRACTIC INC
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 11/03/2008
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Provider Practice Location Address
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Address Line | 3427 WAIALAE AVE SUITE C
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City | HONOLULU
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State | HI
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Zip | 96816-2619
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Country | US
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Telephone | 808-779-6688
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Fax | 808-737-4324
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Provider Business Mailing Address
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Address Line | 3427 WAIALAE AVE SUITE C
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City | HONOLULU
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State | HI
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Zip | 96816-2619
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Country | US
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Telephone | 808-779-6688
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Fax | 808-737-4324
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Authorized Official
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Title or Position | OWNER
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Name | DR. TANYA LIMTIACO CASTRO
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Credential | D.C.
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Telephone | 808-737-5433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC1042
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License Number State | HI
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