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General NPI Number Information
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NPI Number | 1982338794
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Entity Type | Organization
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Legal Business Name | KUUAHI MOBILE MEDICAL INC
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Dates
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Enumeration Date | 07/16/2022
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 101 AUPUNI ST STE 313
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City | HILO
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State | HI
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Zip | 96720-4262
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Country | US
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Telephone | 808-229-5711
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Fax | 808-437-5236
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Provider Business Mailing Address
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Address Line | 220 QUAIL CREEK CT
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City | HUBERT
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State | NC
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Zip | 28539-4390
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Country | US
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Telephone | 808-990-1974
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Fax | 808-437-5236
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ASHLEY KILIHEA ZIMMER
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Credential |
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Telephone | 808-990-1974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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