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General NPI Number Information
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NPI Number | 1033230420
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Entity Type | Organization
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Legal Business Name | KAISER FOUNDATION HEALTH PLAN INC
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 95 660 LANIKUHANI AVE
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City | MILILANI
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State | HI
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Zip | 96789
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Country | US
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Telephone | 808-432-4225
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Fax | 808-432-4343
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Provider Business Mailing Address
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Address Line | 95 660 LANIKUHANI AVE
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City | MILILANI
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State | HI
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Zip | 96789
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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 | PHARMACIST IN CHARGE
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Name | ALBERT LAU
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Credential | PHARM D
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Telephone | 808-432-4225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336M0003X
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Taxonomy Name | Managed Care Organization Pharmacy
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License Number | PHY350
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License Number State | HI
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