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General NPI Number Information
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NPI Number | 1861036071
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE WELL-BEING
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Dates
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Enumeration Date | 10/30/2019
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Last Update Date | 10/30/2019
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Provider Practice Location Address
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Address Line | 2600 PUALANI WAY APT 3004
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City | HONOLULU
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State | HI
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Zip | 96815-3940
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Country | US
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Telephone | 808-278-9150
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 PUALANI WAY APT 3004
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City | HONOLULU
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State | HI
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Zip | 96815-3940
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Country | US
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Telephone | 808-278-9150
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DENISE SIMAO MARQUES
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Credential | PH.D.
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Telephone | 808-278-9150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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