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General NPI Number Information
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NPI Number | 1295691913
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Entity Type | Organization
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Legal Business Name | KOKUA HEALTHCARE
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Dates
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Enumeration Date | 12/26/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 1003 BISHOP ST STE 2700
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City | HONOLULU
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State | HI
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Zip | 96813-6475
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Country | US
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Telephone | 808-466-1863
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Fax | 808-900-3647
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Provider Business Mailing Address
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Address Line | PO BOX 326
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City | KALAHEO
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State | HI
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Zip | 96741-0326
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Country | US
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Telephone | 808-466-1863
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Fax | 808-900-3647
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Authorized Official
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Title or Position | CEO
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Name | JACOB RUSSELL MAUER
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Credential |
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Telephone | 808-466-1863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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