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General NPI Number Information
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NPI Number | 1770880791
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALTH SOLUTIONS
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Dates
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Enumeration Date | 02/28/2011
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Last Update Date | 09/12/2012
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Provider Practice Location Address
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Address Line | 1314 S KING ST SUITE 1564
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City | HONOLULU
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State | HI
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Zip | 96814-1956
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Country | US
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Telephone | 808-888-9971
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Fax |
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Provider Business Mailing Address
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Address Line | 1314 S KING ST SUITE 1564
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City | HONOLULU
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State | HI
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Zip | 96814-1956
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Country | US
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Telephone | 808-888-9971
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAMIAN SMITH
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Credential | DC
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Telephone | 808-888-9971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 6086
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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