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General NPI Number Information
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NPI Number | 1184729741
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Entity Type | Individual
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Provider Name | BOBBIE LEHUANANI ELISALA APRN-RX
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Gender | Female
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 94-216 FARRINGTON HWY
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City | WAIPAHU
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State | HI
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Zip | 96797-1922
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Country | US
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Telephone | 800-600-5197
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Fax | 808-600-5194
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Provider Business Mailing Address
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Address Line | 94-216 FARRINGTON HWY
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City | WAIPAHU
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State | HI
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Zip | 96797-1922
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Country | US
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Telephone | 800-600-5197
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Fax | 808-600-5194
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-411
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License Number State | HI
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