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General NPI Number Information
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NPI Number | 1184583585
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Entity Type | Organization
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Legal Business Name | GEORGE MACKEL, PMHNP-BC, LLC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 73 PUUHONU PL STE 104
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City | HILO
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State | HI
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Zip | 96720-2060
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Country | US
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Telephone | 808-867-8002
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Fax | 808-217-9174
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Provider Business Mailing Address
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Address Line | 12034 BIG CANOE
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City | BIG CANOE
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State | GA
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Zip | 30143-5154
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Country | US
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Telephone | 808-777-9460
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Fax | 808-217-9174
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Authorized Official
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Title or Position | CEO
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Name | MR. GEORGE MACKEL
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Credential | APRN
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Telephone | 828-506-0413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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