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General NPI Number Information
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NPI Number | 1134411895
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Entity Type | Organization
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Legal Business Name | PONO CASE MANAGEMENT, INC.
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Dates
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Enumeration Date | 05/12/2011
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Last Update Date | 05/12/2011
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Provider Practice Location Address
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Address Line | 2005 PUAALA LN
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City | HONOLULU
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State | HI
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Zip | 96819-4229
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Country | US
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Telephone | 808-256-4185
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Fax | 808-356-0788
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Provider Business Mailing Address
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Address Line | 2005 PUAALA LN
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City | HONOLULU
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State | HI
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Zip | 96819-4229
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Country | US
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Telephone | 808-256-4185
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Fax | 808-356-0788
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MICHELLE MARIE TRITTIN
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Credential | R.N.
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Telephone | 808-256-4185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | RN28374
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License Number State | HI
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