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General NPI Number Information
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NPI Number | 1255113601
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Entity Type | Individual
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Provider Name | JENNIFER ANNE IVANOVNA LAHOV ARNP, FNP-C, CPH
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Gender | Female
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Dates
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Enumeration Date | 10/19/2023
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 91-6390 KAPOLEI PKWY
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City | EWA BEACH
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State | HI
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Zip | 96706-6380
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Country | US
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Telephone | 808-691-7482
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Fax |
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Provider Business Mailing Address
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Address Line | 456 KIHAPAI ST
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City | KAILUA
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State | HI
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Zip | 96734-2444
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Country | US
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Telephone | 908-752-7443
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61207026
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN-120641
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN61207021
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-4729
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License Number State | HI
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