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General NPI Number Information
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NPI Number | 1255750014
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Entity Type | Organization
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Legal Business Name | KAHU MALAMA NURSES
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Dates
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Enumeration Date | 04/09/2014
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Last Update Date | 04/09/2014
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Provider Practice Location Address
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Address Line | 1357 KAPIOLANI BLVD., SUITE 850
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City | HONOLULU
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State | HI
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Zip | 96814
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Country | US
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Telephone | 808-951-0111
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Fax | 808-941-0061
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Provider Business Mailing Address
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Address Line | 1357 KAPIOLANI BLVD., SUITE 850
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City | HONOLULU
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State | HI
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Zip | 96814
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Country | US
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Telephone | 808-951-0111
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Fax | 808-941-0061
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Authorized Official
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Title or Position | CEO
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Name | MS. KATHLEEN N. LEONG
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Credential | RN
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Telephone | 808-951-0111
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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 | NONE
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License Number State | HI
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