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General NPI Number Information
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NPI Number | 1326590399
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Entity Type | Individual
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Provider Name | KAINOA CORREA LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 1760 HONOAPIILANI HWY UNIT 12123
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City | LAHAINA
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State | HI
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Zip | 96761-5085
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Country | US
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Telephone | 808-463-4934
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Fax | 808-868-5978
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Provider Business Mailing Address
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Address Line | 72 AUOLI DR
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City | MAKAWAO
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State | HI
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Zip | 96768-9312
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Country | US
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Telephone | 808-276-4079
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LCSW-5245
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License Number State | HI
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