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General NPI Number Information
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NPI Number | 1336032184
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Entity Type | Individual
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Provider Name | JAILANIE CANONIZADO VALERA
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Gender | Female
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 3079 MANU HOPE PL
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City | WAILEA
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State | HI
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Zip | 96753-7712
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Country | US
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Telephone | 808-276-1965
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Fax |
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Provider Business Mailing Address
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Address Line | 38 WAILANI ST
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City | WAILUKU
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State | HI
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Zip | 96793-1818
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Country | US
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Telephone | 808-276-1965
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | RN-116437
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License Number State | HI
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