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General NPI Number Information
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NPI Number | 1124063003
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Entity Type | Organization
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Legal Business Name | PC CARE CORP
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 919 LEHUA AVE
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City | PEARL CITY
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State | HI
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Zip | 96782-3328
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Country | US
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Telephone | 808-453-1919
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Fax | 808-453-1929
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Provider Business Mailing Address
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Address Line | 919 LEHUA AVE
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City | PEARL CITY
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State | HI
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Zip | 96782-3328
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Country | US
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Telephone | 808-453-1919
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Fax | 808-453-1929
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MRS. CYNTHIA L. C. YOSHIDA
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Credential |
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Telephone | 808-453-1919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 49-N
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License Number State | HI
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