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General NPI Number Information
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NPI Number | 1356707541
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Entity Type | Organization
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Legal Business Name | DOLOR ENTERPRISES LLC
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Dates
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Enumeration Date | 01/05/2016
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Last Update Date | 01/28/2016
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Provider Practice Location Address
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Address Line | 45-216 MAKAHIO ST
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City | KANEOHE
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State | HI
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Zip | 96744-3119
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Country | US
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Telephone | 808-347-2536
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Fax |
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Provider Business Mailing Address
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Address Line | 45-216 MAKAHIO ST
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City | KANEOHE
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State | HI
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Zip | 96744-3119
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Country | US
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Telephone | 808-347-2536
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. GRACE RAMISCAL DOLOR
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Credential | RN
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Telephone | 808-436-2183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number | RN-57042
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License Number State | HI
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