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General NPI Number Information
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NPI Number | 1124009584
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Entity Type | Organization
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Legal Business Name | QUEENS NORTH HAWAII COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 67-1125 MAMALAHOA HWY
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City | KAMUELA
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State | HI
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Zip | 96743-8496
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Country | US
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Telephone | 808-881-4400
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Fax | 808-881-4404
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Provider Business Mailing Address
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Address Line | PO BOX 2799
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City | KAMUELA
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State | HI
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Zip | 96743-2799
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Country | US
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Telephone | 808-881-4400
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Fax | 808-881-4404
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE & IT
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Name | MONEY S. ATWAL
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Credential |
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Telephone | 808-881-4409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHA 25
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License Number State | HI
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