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NPI 1396679932

NPI 1396679932 : GOT YOUR SIX 808 LLC : AIEA, HI

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General NPI Number Information
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    NPI Number           |    1396679932
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    Entity Type          |    Organization 
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    Legal Business Name  |    GOT YOUR SIX 808 LLC 
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Dates
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    Enumeration Date     |    06/10/2026
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    Last Update Date     |    06/10/2026
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Provider Practice Location Address
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    Address Line         |    98-030 HEKAHA ST 
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    City                 |    AIEA
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    State                |    HI
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    Zip                  |    96701-4916
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    Country              |    US
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    Telephone            |    808-216-5846
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    Fax                  |    808-216-5846
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Provider Business Mailing Address
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    Address Line         |    PO BOX 235553 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96823
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    Country              |    US
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    Telephone            |    808-216-5846
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    Fax                  |    808-216-5846
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KIM  MCCUMSEY 
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    Credential           |    
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    Telephone            |    808-216-5846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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