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General NPI Number Information
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NPI Number | 1154831220
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Entity Type | Organization
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Legal Business Name | RISE ABOVE: CONTINUING EDUCATION & SCHOLARSHIP, L3C
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Dates
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Enumeration Date | 10/03/2017
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Last Update Date | 10/03/2017
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Provider Practice Location Address
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Address Line | 1442 KEWALO ST APT 409
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City | HONOLULU
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State | HI
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Zip | 96822-5303
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Country | US
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Telephone | 808-999-9108
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Fax |
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Provider Business Mailing Address
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Address Line | 1442 KEWALO ST APT 409
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City | HONOLULU
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State | HI
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Zip | 96822-5303
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/LEAD INSTRUCTOR
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Name | MR. KEVIN JOSEPH QUAIL II
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Credential |
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Telephone | 808-999-9108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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