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General NPI Number Information
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NPI Number | 1174632897
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Entity Type | Organization
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Legal Business Name | REHABILITATION HOSPITAL OF THE PACIFIC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 06/20/2022
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Provider Practice Location Address
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Address Line | 76 PUUHONU PL
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City | HILO
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State | HI
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Zip | 96720-2001
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Country | US
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Telephone | 808-961-5776
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Fax | 808-961-6473
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Provider Business Mailing Address
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Address Line | 226 N KUAKINI ST
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City | HONOLULU
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State | HI
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Zip | 96817-2421
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Country | US
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Telephone | 808-531-3511
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Fax | 808-544-3377
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | STEPHANIE NADOLNY
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Credential |
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Telephone | 808-566-3815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | OHCA#35H
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License Number State | HI
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