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General NPI Number Information
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NPI Number | 1043050685
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Entity Type | Organization
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Legal Business Name | SOCIAL SERVICES OF AMERICA INC
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Dates
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Enumeration Date | 05/30/2024
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 200 N VINEYARD BLVD STE 5068
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City | HONOLULU
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State | HI
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Zip | 96817-3950
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Country | US
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Telephone | 808-818-5036
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Fax |
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Provider Business Mailing Address
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Address Line | 200 N VINEYARD BLVD STE 5068
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City | HONOLULU
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State | HI
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Zip | 96817-3950
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Country | US
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Telephone | 800-216-1906
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ DIRECTOR
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Name | LANETTIA SHUNTA LITTLETON
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Credential |
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Telephone | 430-333-6455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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