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General NPI Number Information
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NPI Number | 1962315374
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Entity Type | Organization
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Legal Business Name | ISLAND SPINE AND HEALTH LLC
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 2153 N KING ST STE 302A
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City | HONOLULU
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State | HI
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Zip | 96819-4560
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Country | US
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Telephone | 401-423-5752
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Fax |
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Provider Business Mailing Address
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Address Line | 95-1045 KENI ST
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City | MILILANI
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State | HI
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Zip | 96789-6550
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Country | US
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Telephone | 808-489-0242
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JARED QUITOLES
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Credential | DC
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Telephone | 808-489-0242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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