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General NPI Number Information
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NPI Number | 1336660729
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Entity Type | Individual
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Provider Name | KATHY KAYA APRNX, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/06/2017
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 50 S BERETANIA ST STE C211C
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City | HONOLULU
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State | HI
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Zip | 96813
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Country | US
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Telephone | 88-532-2020
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Fax | 88-532-2027
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Provider Business Mailing Address
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Address Line | 50 S BERETANIA ST STE C211C
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City | HONOLULU
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State | HI
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Zip | 96813-2222
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Country | US
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Telephone | 88-532-2020
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Fax | 88-532-2027
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1866
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License Number State | HI
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