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General NPI Number Information
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NPI Number | 1053975698
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Entity Type | Organization
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Legal Business Name | HI SECURE CARE CASE MANAGEMENT AGENCY LLC
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Dates
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Enumeration Date | 04/29/2019
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 94-076 AAAHI PL
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City | MILILANI
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State | HI
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Zip | 96789-1820
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Country | US
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Telephone | 808-286-4835
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Fax | 844-825-7520
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Provider Business Mailing Address
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Address Line | 94-076 AAAHI PL
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City | MILILANI
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State | HI
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Zip | 96789-1820
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Country | US
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Telephone | 808-286-4835
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Fax | 844-825-7520
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Authorized Official
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Title or Position | OWNER, CHIEF NURSE CASE MANAGER
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Name | MR. LANCE TOSHIRO AURIO
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Credential | RN
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Telephone | 808-286-4835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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