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General NPI Number Information
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NPI Number | 1861488553
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH II, INC.
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Dates
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Enumeration Date | 09/27/2005
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 1814 LILIHA ST
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City | HONOLULU
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State | HI
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Zip | 96817-2324
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Country | US
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Telephone | 808-537-9557
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Fax | 808-599-4722
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Provider Business Mailing Address
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Address Line | 1814 LILIHA ST
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City | HONOLULU
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State | HI
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Zip | 96817-2324
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Country | US
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Telephone | 808-748-8701
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Fax | 808-599-4722
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDISON K MIYAWAKI
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Credential | MD
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Telephone | 808-537-9557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 47-N
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License Number State | HI
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