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General NPI Number Information
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NPI Number | 1235515396
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Entity Type | Organization
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Legal Business Name | MOLOKAI GENERAL HOSPITAL
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Dates
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Enumeration Date | 07/30/2015
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 280 HOMEOLU PLACE
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City | KAUNAKAKAI
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State | HI
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Zip | 96748
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Country | US
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Telephone | 808-553-5331
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Fax | 808-553-3133
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Provider Business Mailing Address
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Address Line | PO BOX 408
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City | KAUNAKAKAI
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State | HI
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Zip | 96748-0408
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Country | US
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Telephone | 808-553-5331
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Fax | 808-553-3133
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Authorized Official
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Title or Position | PRESIDENT
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Name | JANICE KALANIHUIA
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Credential |
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Telephone | 808-553-5331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State | HI
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