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NPI 1245940535

NPI 1245940535 : HAZEL BARSATAN : KAILUA, HI

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General NPI Number Information
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    NPI Number           |    1245940535
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    Entity Type          |    Individual 
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    Provider Name        |    HAZEL BARSATAN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/29/2022
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    Last Update Date     |    06/13/2025
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Provider Practice Location Address
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    Address Line         |    203 KAPAA QUARRY PL 5002
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    City                 |    KAILUA
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    State                |    HI
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    Zip                  |    96734
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    Country              |    US
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    Telephone            |    808-247-2973
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1001 KAMOKILA BLVD STE 210 
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    City                 |    KAPOLEI
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    State                |    HI
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    Zip                  |    96707-2096
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    RBT-22-223220
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    License Number State |    HI
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Taxonomy #2
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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