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General NPI Number Information
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NPI Number | 1861749871
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Entity Type | Organization
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Legal Business Name | SYS EAST, LLC
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 01/17/2022
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Provider Practice Location Address
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Address Line | 748 OLOKELE AVE
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City | HONOLULU
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State | HI
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Zip | 96816-1019
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Country | US
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Telephone | 808-426-7850
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Fax |
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Provider Business Mailing Address
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Address Line | 2035 KAMEHAMEHA AVE
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City | HONOLULU
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State | HI
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Zip | 96822-2102
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. SANDRA Y SHIM
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Credential |
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Telephone | 808-943-8767
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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 | 80-N
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License Number State | HI
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