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NPI 1366117087

NPI 1366117087 : KAI MEGAN HASHEMI REGISTERED NURSE : HONOMU, HI

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General NPI Number Information
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    NPI Number           |    1366117087
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    Entity Type          |    Individual 
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    Provider Name        |    KAI MEGAN HASHEMI REGISTERED NURSE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/13/2021
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    Last Update Date     |    08/13/2021
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Provider Practice Location Address
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    Address Line         |    32-890 HANAMALO LANE 
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    City                 |    HONOMU
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    State                |    HI
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    Zip                  |    96728-0388
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    Country              |    US
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    Telephone            |    818-437-6464
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 388 
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    City                 |    HONOMU
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    State                |    HI
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    Zip                  |    96728-0388
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    Country              |    US
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    Telephone            |    818-437-6464
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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        |    163WS0200X
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    Taxonomy Name        |    School Registered Nurse
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    License Number       |    RN-100013
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    License Number State |    HI
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