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General NPI Number Information
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NPI Number | 1225893985
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Entity Type | Organization
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Legal Business Name | KAHU HEALTH LLC
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Dates
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Enumeration Date | 02/20/2024
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 1001 BISHOP ST STE 2685A
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City | HONOLULU
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State | HI
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Zip | 96813-3404
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Country | US
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Telephone | 808-720-4357
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Fax | 808-204-8997
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Provider Business Mailing Address
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Address Line | 92-1503 ALIINUI DR # 29E
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City | KAPOLEI
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State | HI
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Zip | 96707-2237
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Country | US
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Telephone | 808-720-4357
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Fax | 808-204-8997
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Authorized Official
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Title or Position | OWNER
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Name | ARI HARRIS
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Credential | MD
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Telephone | 808-720-4357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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