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General NPI Number Information
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NPI Number | 1972938454
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Entity Type | Organization
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Legal Business Name | HEALTHY OPTIONS 4-U, LLC
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Dates
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Enumeration Date | 09/04/2013
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Last Update Date | 09/04/2013
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Provider Practice Location Address
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Address Line | 407 ULUNIU ST STE. #412
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City | KAILUA
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State | HI
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Zip | 96734-2519
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Country | US
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Telephone | 808-222-8199
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Fax |
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Provider Business Mailing Address
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Address Line | 1490 HUMUWILI PL
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City | KAILUA
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State | HI
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Zip | 96734-3714
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Country | US
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Telephone | 808-222-8199
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | DR. GLORIA K HAMADA
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Credential | DC
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Telephone | 808-222-8199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 685
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License Number State | HI
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