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General NPI Number Information
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NPI Number | 1992032015
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Entity Type | Organization
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Legal Business Name | INSTITUTE OF CLINICAL ACUPUNCTURE AND ORIENTAL MEDICINE
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Dates
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Enumeration Date | 11/10/2009
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Last Update Date | 11/10/2009
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Provider Practice Location Address
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Address Line | 100 N BERETANIA ST SUITE 203
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City | HONOLULU
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State | HI
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Zip | 96817-4712
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Country | US
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Telephone | 808-521-2288
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Fax | 808-521-2271
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Provider Business Mailing Address
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Address Line | 100 N BERETANIA ST SUITE 203
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City | HONOLULU
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State | HI
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Zip | 96817-4712
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Country | US
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Telephone | 808-521-2288
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Fax | 808-521-2271
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. WAI HOA LOW
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Credential | DAOM, MBA, L.AC.
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Telephone | 808-521-2288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ACU 407
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License Number State | HI
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