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General NPI Number Information
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NPI Number | 1295646529
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Entity Type | Organization
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Legal Business Name | KAMAKAKOA
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 45-090 NAMOKU ST
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City | KANEOHE
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State | HI
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Zip | 96744-5305
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Country | US
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Telephone | 808-554-7652
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Fax |
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Provider Business Mailing Address
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Address Line | 91-1360 KARAYAN ST
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City | EWA BEACH
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State | HI
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Zip | 96706-1985
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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/CEO
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Name | LEINA IJACIC
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Credential |
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Telephone | 808-554-7652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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