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Organization
TANCO LLC
Active
Organization
TANCO LLC
Active
Other names
DOSS K. TANNEHILL Ocularist
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOSS K. TANNEHILL BCO (MEMBER MANAGER)
(808) 738-5300
Entity
Organization
Contact information
Practice address
752 17TH AVE, HONOLULU, HI 96816-4102
(808) 738-5300
(808) 738-5304
Mailing address
752 17TH AVE, HONOLULU, HI 96816-4102
(808) 738-5300
(808) 738-5304
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
DIO 97
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00614018
ALOHACARE
HI
05
—
061401-02
—
HI
Enumeration date
01/18/2007
Last updated
08/22/2020
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