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General NPI Number Information
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NPI Number | 1972371284
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Entity Type | Organization
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Legal Business Name | TRIPLE ACE VENTURE CAPITAL, CORP.
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Dates
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Enumeration Date | 12/15/2023
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Last Update Date | 12/15/2023
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Provider Practice Location Address
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Address Line | 737 LOWER MAIN ST STE C
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City | WAILUKU
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State | HI
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Zip | 96793-1400
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Country | US
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Telephone | 808-249-8898
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Fax | 808-249-8899
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Provider Business Mailing Address
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Address Line | PO BOX 6549
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City | HILO
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State | HI
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Zip | 96720-8930
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Country | US
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Telephone | 808-747-3661
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Fax | 808-961-9059
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARICHU A PAZ
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Credential |
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Telephone | 808-747-3661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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