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General NPI Number Information
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NPI Number | 1508719196
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Entity Type | Organization
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Legal Business Name | HAWAII INTEGRATIVE MEDICINE CORP
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 970 N KALAHEO AVE STE C308
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City | KAILUA
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State | HI
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Zip | 96734-1873
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Country | US
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Telephone | 808-212-4093
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Fax |
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Provider Business Mailing Address
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Address Line | 2071 10TH AVE
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City | HONOLULU
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State | HI
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Zip | 96816-2929
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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 | OWNER
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Name | KATIE MARIE GARDETTO
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Credential | FNP-C
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Telephone | 808-212-4093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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