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General NPI Number Information
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NPI Number | 1285996900
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Entity Type | Organization
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Legal Business Name | ALOHA PSYCHIATRIC CARE LLC
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Dates
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Enumeration Date | 06/08/2012
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Last Update Date | 06/08/2012
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Provider Practice Location Address
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Address Line | 900 ELM ST 10TH FLOOR
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City | MANCHESTER
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State | NH
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Zip | 03101-2007
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Country | US
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Telephone | 808-772-9212
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1585
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City | LACONIA
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State | NH
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Zip | 03247-1585
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DOREEN FUKUSHIMA
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Credential | M.D.
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Telephone | 808-295-1651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 14964
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 14992
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License Number State | NH
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