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General NPI Number Information
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NPI Number | 1326519539
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Entity Type | Organization
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Legal Business Name | THE PRACTICES INC
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 270 HOOKAHI ST STE 211
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City | WAILUKU
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State | HI
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Zip | 96793-1466
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Country | US
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Telephone | 808-214-9284
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Fax | 833-767-1861
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Provider Business Mailing Address
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Address Line | PO BOX 790929
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City | PAIA
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State | HI
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Zip | 96779-0929
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Country | US
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Telephone | 808-214-9284
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Fax | 833-767-1861
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Authorized Official
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Title or Position | OWNER
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Name | KONSTANTINA ROSE
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Credential | NP
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Telephone | 808-214-9284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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