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General NPI Number Information
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NPI Number | 1205789062
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Entity Type | Organization
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Legal Business Name | PUA KIELE ADULT FOSTER HOME LLC
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 2740 PIKAKE ST
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City | LIHUE
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State | HI
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Zip | 96766-1645
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Country | US
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Telephone | 808-639-9455
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Fax | 808-320-3448
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Provider Business Mailing Address
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Address Line | 2740 PIKAKE ST
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City | LIHUE
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State | HI
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Zip | 96766-1645
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Country | US
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Telephone | 808-639-9455
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Fax | 808-320-3448
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Authorized Official
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Title or Position | SOLE OWNER
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Name | RONALD CACUYONG TARRIGA
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Credential |
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Telephone | 808-639-9455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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