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General NPI Number Information
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NPI Number | 1043165129
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Entity Type | Organization
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Legal Business Name | IKE PONO CASE MANAGEMENT LLC
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 46-208 KAHUHIPA ST STE 101
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City | KANEOHE
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State | HI
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Zip | 96744-3905
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Country | US
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Telephone | 808-397-4638
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10
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City | HAUULA
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State | HI
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Zip | 96717-0010
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Country | US
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Telephone | 808-397-4638
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KIMBERLY FANENE
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Credential | CM
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Telephone | 808-397-4638
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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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