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General NPI Number Information
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NPI Number | 1083343024
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Entity Type | Organization
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Legal Business Name | WEST OAHU MENTAL HEALTH
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Dates
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Enumeration Date | 06/06/2022
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 91-1001 KAIMALIE ST
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City | EWA BEACH
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State | HI
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Zip | 96706-6247
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Country | US
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Telephone | 808-679-2680
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Fax |
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Provider Business Mailing Address
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Address Line | 91-1001 KAIMALIE ST
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City | EWA BEACH
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State | HI
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Zip | 96706-6247
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Country | US
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Telephone | 808-679-2680
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | DR. RENEE REINE FOSTER
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Credential | APRN,FNP,PMHNP,DNP
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Telephone | 808-679-2680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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