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General NPI Number Information
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NPI Number | 1073867867
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Entity Type | Organization
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Legal Business Name | ISLAND INTEGRATED HEALTH LLC
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Dates
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Enumeration Date | 11/01/2012
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Last Update Date | 10/31/2018
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Provider Practice Location Address
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Address Line | 1600 KAPIOLANI BLVD STE 1311
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City | HONOLULU
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State | HI
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Zip | 96814-3876
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Country | US
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Telephone | 808-220-8185
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 37962
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City | HONOLULU
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State | HI
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Zip | 96837-0962
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Country | US
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Telephone | 808-258-7271
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Fax |
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Authorized Official
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Title or Position | COO, CFO
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Name | CRISTIANE CALEFFI
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Credential |
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Telephone | 808-258-7271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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