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General NPI Number Information
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NPI Number | 1972438505
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Entity Type | Organization
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Legal Business Name | RISEN HEALTH
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 6408 101ST ST
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City | EWA BEACH
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State | HI
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Zip | 96706-3336
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Country | US
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Telephone | 808-774-7313
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Fax | 833-468-0493
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Provider Business Mailing Address
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Address Line | 6408 101ST ST
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City | EWA BEACH
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State | HI
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Zip | 96706-3336
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Country | US
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Telephone | 808-774-7313
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Fax | 833-468-0493
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Authorized Official
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Title or Position | MANAGER
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Name | CHRIS BROOKS
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Credential |
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Telephone | 808-774-7313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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