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General NPI Number Information
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NPI Number | 1154553972
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Entity Type | Organization
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Legal Business Name | COALITION FOR A DRUG-FREE HAWAII
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Dates
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Enumeration Date | 08/12/2009
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Last Update Date | 08/12/2009
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Provider Practice Location Address
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Address Line | 1130 N NIMITZ HWY RM A259
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City | HONOLULU
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State | HI
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Zip | 96817-5783
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Country | US
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Telephone | 808-545-3228
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Fax | 808-545-2686
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Provider Business Mailing Address
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Address Line | 1130 N NIMITZ HWY RM A259
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City | HONOLULU
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State | HI
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Zip | 96817-5783
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Country | US
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Telephone |
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Fax | 808-545-2686
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. ALAN SHINN
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Credential |
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Telephone | 808-545-3228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 20388980-01
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License Number State | HI
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