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General NPI Number Information
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NPI Number | 1114875572
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Entity Type | Organization
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Legal Business Name | SACRED FLOW HEALTH AND LONGEVITY, CORPORATION
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 82-5938 GOVERNMENT MAIN RD
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City | CAPTAIN COOK
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State | HI
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Zip | 96704-8368
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Country | US
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Telephone | 808-989-3856
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Fax |
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Provider Business Mailing Address
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Address Line | 82-5938 GOVERNMENT MAIN RD
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City | CAPTAIN COOK
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State | HI
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Zip | 96704-8368
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER/MEDICAL DIRECTOR
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Name | HEATHER KENT
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Credential | APRN, FNP-BC
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Telephone | 808-989-3856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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