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General NPI Number Information
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NPI Number | 1164388203
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Entity Type | Individual
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Provider Name | JOVELIA ANTONIO REPULLO APRN
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Gender | Female
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 94-1080 LUMIPOLU ST
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City | WAIPAHU
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State | HI
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Zip | 96797-3954
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Country | US
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Telephone | 808-265-8836
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Fax | 727-592-5395
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Provider Business Mailing Address
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Address Line | 94-1080 LUMIPOLU ST
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City | WAIPAHU
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State | HI
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Zip | 96797-3954
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Country | US
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Telephone |
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Fax | 727-592-5395
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN-5648
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License Number State | HI
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