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General NPI Number Information
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NPI Number | 1134371685
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Entity Type | Individual
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Provider Name | MR. KANOA MERIWETHER
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Gender | Male
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Dates
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Enumeration Date | 10/15/2008
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | 622 HINANO ST
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City | HILO
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State | HI
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Zip | 96720-4427
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Country | US
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Telephone | 808-589-1829
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Fax | 808-589-2610
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Provider Business Mailing Address
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Address Line | PO BOX 741
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City | MOUNTAIN VIEW
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State | HI
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Zip | 96771-0741
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Country | US
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Telephone | 808-782-1603
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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