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General NPI Number Information
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NPI Number | 1326556556
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Entity Type | Organization
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Legal Business Name | ROOT 2 RISE COOPERATIVE
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Dates
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Enumeration Date | 01/23/2018
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 80 PAUAHI ST STE 101
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City | HILO
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State | HI
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Zip | 96720-3043
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Country | US
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Telephone | 808-557-9537
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Fax |
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Provider Business Mailing Address
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Address Line | 16 MANULELE ST
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City | HILO
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State | HI
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Zip | 96720-1628
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Country | US
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Telephone | 808-557-9537
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MRS. KIMBERLY BATES PIERCE
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Credential | MA
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Telephone | 808-557-9537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 318
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License Number State | HI
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