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General NPI Number Information
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NPI Number | 1851296834
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Entity Type | Organization
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Legal Business Name | BLUE PACIFIC HEALTH INC
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Dates
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Enumeration Date | 10/10/2026
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Last Update Date | 10/10/2026
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Provider Practice Location Address
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Address Line | 91-896 MAKULE RD STE 102
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City | EWA BEACH
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State | HI
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Zip | 96706-2543
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Country | US
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Telephone | 808-689-4414
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Fax | 808-689-7115
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Provider Business Mailing Address
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Address Line | 737 BISHOP ST STE 2520
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City | HONOLULU
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State | HI
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Zip | 96813-3214
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Country | US
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Telephone | 808-689-4414
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Fax | 808-689-7115
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MARICEL SANTOS
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Credential |
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Telephone | 808-689-4414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NULL
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