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General NPI Number Information
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NPI Number | 1639561343
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Entity Type | Organization
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Legal Business Name | KALIHI KAI URGENT CARE LLC
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Dates
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Enumeration Date | 03/04/2015
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Last Update Date | 03/04/2015
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Provider Practice Location Address
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Address Line | 2070 N KING ST
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City | HONOLULU
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State | HI
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Zip | 96819-3481
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Country | US
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Telephone | 808-779-3655
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Fax |
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Provider Business Mailing Address
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Address Line | 94-216 FARRINGTON HWY # B2-106 SUITE 313
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City | WAIPAHU
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State | HI
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Zip | 96797-1922
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Country | US
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Telephone | 808-779-3655
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RIDA T. R. CABANILLA
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Credential | RN
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Telephone | 808-779-3655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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