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General NPI Number Information
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NPI Number | 1245025469
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Entity Type | Organization
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Legal Business Name | JEWISH COMMUNITY SERVICES OF HAWAII
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 3372 PAKANU ST
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City | HONOLULU
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State | HI
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Zip | 96822-1376
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Country | US
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Telephone | 310-621-3960
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 235805
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City | HONOLULU
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State | HI
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Zip | 96823-3513
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Country | US
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Telephone | 808-258-7121
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MIMI LIND
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Credential | LCSW
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Telephone | 808-258-7121
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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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