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General NPI Number Information
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NPI Number | 1578948097
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Entity Type | Organization
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Legal Business Name | SILK BRIDGE LLC
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Dates
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Enumeration Date | 07/27/2015
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 863 HALEKAUWILA ST
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City | HONOLULU
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State | HI
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Zip | 96813-5325
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Country | US
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Telephone | 808-205-3718
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 61185
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City | HONOLULU
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State | HI
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Zip | 96839-1185
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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 | CEO
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Name | MR. RICHARD J GIROLAMI JR.
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Credential | L.AC.
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Telephone | 808-205-3718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 1058
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License Number State | HI
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