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General NPI Number Information
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NPI Number | 1386361616
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Entity Type | Organization
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Legal Business Name | FIRSTVITALS HEALTH AND WELLNESS INC
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Dates
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Enumeration Date | 10/26/2022
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 521 ALA MOANA BLVD STE 261
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City | HONOLULU
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State | HI
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Zip | 96813-4924
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Country | US
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Telephone | 808-295-6809
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Fax |
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Provider Business Mailing Address
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Address Line | 521 ALA MOANA BLVD STE 261
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City | HONOLULU
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State | HI
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Zip | 96813-4924
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Country | US
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Telephone | 808-295-6809
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ERNEST GIN LEE
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Credential |
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Telephone | 925-299-8015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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