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General NPI Number Information
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NPI Number | 1922977685
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Entity Type | Organization
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Legal Business Name | GENUINE ISLAND CARE LLC
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Dates
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Enumeration Date | 10/31/2025
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 1050 18TH AVE
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City | HONOLULU
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State | HI
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Zip | 96816-4117
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Country | US
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Telephone | 808-517-8471
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 18TH AVE
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City | HONOLULU
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State | HI
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Zip | 96816-4117
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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 | OWNER
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Name | BRITNEY CALUCAG
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Credential |
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Telephone | 808-688-3302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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