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General NPI Number Information
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NPI Number | 1215143672
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Entity Type | Organization
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Legal Business Name | KULA HOSPITAL
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 KEOKEA PL
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City | KULA
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State | HI
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Zip | 96790-7450
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Country | US
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Telephone | 808-876-4307
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Fax | 808-878-1791
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Provider Business Mailing Address
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Address Line | 100 KEOKEA PL
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City | KULA
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State | HI
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Zip | 96790-7450
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Country | US
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Telephone | 808-876-4307
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Fax | 808-878-1791
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | MRS. KIM NILES
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Credential | ADMINISTRATION
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Telephone | 808-876-4307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY-58
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License Number State | HI
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