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General NPI Number Information
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NPI Number | 1245614676
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Entity Type | Organization
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Legal Business Name | HAKUNA, INC.
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 79 MADISON AVE 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10016-7802
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Country | US
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Telephone | 212-945-8345
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Fax | 914-205-5281
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Provider Business Mailing Address
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Address Line | 79 MADISON AVE 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10016-7802
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Country | US
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Telephone | 212-945-8345
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Fax | 914-205-5281
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEVIN LIU
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Credential |
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Telephone | 424-333-2016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HP0204300
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License Number State | NJ
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