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General NPI Number Information
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NPI Number | 1275380297
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Entity Type | Individual
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Provider Name | REGINA FELICIANO
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Gender | Female
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Dates
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Enumeration Date | 05/06/2024
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 1448 LILIHA ST
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City | HONOLULU
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State | HI
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Zip | 96817-3589
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Country | US
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Telephone | 808-462-0423
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Fax |
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Provider Business Mailing Address
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Address Line | 98973 ILIEE STREET
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City | AIEA
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State | HI
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Zip | 96701
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Country | US
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Telephone | 808-542-2871
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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-24-345341
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License Number State | HI
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