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General NPI Number Information
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NPI Number | 1306720446
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Entity Type | Organization
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Legal Business Name | NAVAL HEALTH CLINIC HAWAII
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 480 CENTRAL AVE
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City | JBPHH
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State | HI
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Zip | 96860-4908
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Country | US
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Telephone | 808-474-4242
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Fax |
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Provider Business Mailing Address
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Address Line | 480 CENTRAL AVE
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City | JBPHH
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State | HI
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Zip | 96860-4908
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Country | US
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Telephone | 808-474-4242
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL HEALTH, PA-C
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Name | CELIA SUKON
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Credential | PA-C
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Telephone | 808-474-4242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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