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General NPI Number Information
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NPI Number | 1376407478
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Entity Type | Organization
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Legal Business Name | AMERICAN SAMOA COMMUNITY CANCER COALITION
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1716 TAFUNA ROAD AMP, STE #301
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City | PAGO PAGO
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State | AS
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Zip | 96799-1716
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Country | US
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Telephone | 684-699-0110
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1716
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City | PAGO PAGO
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State | AS
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Zip | 96799-1716
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Country | US
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Telephone | 684-699-0110
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. VAATAUSILI TOFAEONO
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Credential | PHD
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Telephone | 684-699-0110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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