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General NPI Number Information
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NPI Number | 1215628987
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Entity Type | Organization
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Legal Business Name | AAA KAMAAINA HEALTH CARE
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 91-1515 KAIKOHOLA ST
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City | EWA BEACH
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State | HI
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Zip | 96706-6517
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Country | US
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Telephone | 808-721-2005
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Fax |
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Provider Business Mailing Address
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Address Line | 91-1515 KAIKOHOLA ST
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City | EWA BEACH
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State | HI
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Zip | 96706-6517
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Country | US
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Telephone | 808-721-2005
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEANNA ALLAR
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Credential |
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Telephone | 808-721-0205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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