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General NPI Number Information
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NPI Number | 1285450163
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Entity Type | Organization
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Legal Business Name | KAU HOSPITAL
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 15-2714 PAHOA VILLAGE RD STE 5
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City | PAHOA
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State | HI
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Zip | 96778-9715
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Country | US
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Telephone | 808-930-6001
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Fax | 808-930-6007
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Provider Business Mailing Address
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Address Line | PO BOX 40
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City | PAHALA
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State | HI
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Zip | 96777-0040
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Country | US
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Telephone | 808-932-4300
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Fax |
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Authorized Official
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Title or Position | REGIONAL CFO
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Name | JONI MU WALTJEN
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Credential |
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Telephone | 808-932-3110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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