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General NPI Number Information
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NPI Number | 1285376905
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Entity Type | Individual
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Provider Name | MARIKIT G CARDON CNA
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Gender | Female
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Dates
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Enumeration Date | 04/12/2022
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 849 HOOMAU ST
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City | WAILUKU
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State | HI
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Zip | 96793-9424
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Country | US
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Telephone | 808-453-0931
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Fax | 808-419-6637
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Provider Business Mailing Address
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Address Line | 548 S KAMEHAMEHA AVE
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City | KAHULUI
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State | HI
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Zip | 96732-1939
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Country | US
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Telephone | 808-453-0931
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Fax | 808-214-6845
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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 | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 1-190009
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License Number State | HI
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