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General NPI Number Information
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NPI Number | 1063079036
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Entity Type | Organization
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Legal Business Name | KOS INTEGRATIVE HEALTH, LLC
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Dates
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Enumeration Date | 05/24/2019
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Last Update Date | 05/24/2019
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Provider Practice Location Address
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Address Line | 1441 KAPIOLANI BLVD STE 609
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City | HONOLULU
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State | HI
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Zip | 96814-4403
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Country | US
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Telephone | 510-545-9890
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Fax |
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Provider Business Mailing Address
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Address Line | 500 UNIVERSITY AVE APT 928
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City | HONOLULU
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State | HI
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Zip | 96826-4916
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Country | US
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Telephone | 510-842-6069
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. SARA H CHONG
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Credential | DC
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Telephone | 510-842-6069
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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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