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General NPI Number Information
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NPI Number | 1497426381
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Entity Type | Organization
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Legal Business Name | ISLAND MOBILITY SOLUTIONS LLC
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Dates
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Enumeration Date | 09/22/2021
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 1038 QUEEN ST
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City | HONOLULU
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State | HI
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Zip | 96814-4167
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Country | US
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Telephone | 808-780-8270
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Fax |
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Provider Business Mailing Address
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Address Line | 70 WAILUPE CIR
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City | HONOLULU
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State | HI
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Zip | 96821-1519
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Country | US
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Telephone | 808-780-8270
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER CHENERY
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Credential |
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Telephone | 808-780-8270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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