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General NPI Number Information
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NPI Number | 1104923424
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Entity Type | Individual
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Provider Name | MERRILEE HAUNANI MAIKAI-ST. LOUIS
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | VAPICHS , BLDG. 110 459 PATTERSON RD
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City | HONOLULU
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State | HI
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Zip | 96819-1522
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Country | US
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Telephone | 808-433-0272
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Fax |
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Provider Business Mailing Address
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Address Line | 95-1024 PAEMOKU PL
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City | MILILANI
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State | HI
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Zip | 96789-6524
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Country | US
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Telephone | 808-433-0272
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LSW 865
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License Number State | HI
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