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General NPI Number Information
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NPI Number | 1932321932
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Entity Type | Individual
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Provider Name | IRENEUS CHOLEWA N.D.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2395 S. KIHEI RD. #204
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City | KIHEI
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State | HI
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Zip | 96753
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Country | US
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Telephone | 808-874-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 2395 S. KIHEI RD. #204
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City | KIHEI
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State | HI
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Zip | 96753
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Country | US
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Telephone | 808-874-3400
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND-142
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License Number State | HI
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