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General NPI Number Information
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NPI Number | 1790667392
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Entity Type | Organization
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Legal Business Name | MALAMA INTEGRATIVE WELLNESS AND CHIROPRACTIC
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 65-1184 MAMALAHOA HWY
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City | KAMUELA
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State | HI
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Zip | 96743-8431
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Country | US
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Telephone | 808-938-6557
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Fax | 808-443-0537
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Provider Business Mailing Address
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Address Line | 65-1184 MAMALAHOA HWY
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City | KAMUELA
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State | HI
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Zip | 96743-8431
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Country | US
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Telephone | 808-938-6557
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Fax | 808-443-0537
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | ASHLYN RUSSELL
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Credential | DC
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Telephone | 808-938-6557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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