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General NPI Number Information
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NPI Number | 1619444569
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Entity Type | Organization
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Legal Business Name | OPTIMIZED HEALTH LLC
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Dates
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Enumeration Date | 10/30/2018
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Last Update Date | 01/04/2023
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Provider Practice Location Address
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Address Line | 1441 KAPIOLANI BLVD STE 1114 #23464
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City | HONOLULU
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State | HI
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Zip | 96814
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Country | US
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Telephone | 888-982-4353
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Fax |
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Provider Business Mailing Address
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Address Line | 120 BALDWIN AVE UNIT 790314
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City | PAIA
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State | HI
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Zip | 96779-3014
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Country | US
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Telephone | 888-982-4353
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Fax |
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Authorized Official
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Title or Position | CLINICAL AFFAIRS MANAGER
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Name | DR. BEN DAVID
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Credential | MD
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Telephone | 858-255-4242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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