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General NPI Number Information
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NPI Number | 1437324050
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Entity Type | Organization
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Legal Business Name | CASE MANAGEMENT PROFESSIONALS, INC
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 91-616 ONELUA ST
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City | EWA BEACH
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State | HI
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Zip | 96706-2419
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Country | US
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Telephone | 808-689-1937
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Fax | 808-689-1933
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Provider Business Mailing Address
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Address Line | 91-616 ONELUA ST
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City | EWA BEACH
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State | HI
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Zip | 96706-2419
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Country | US
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Telephone | 808-689-1937
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Fax | 808-689-1933
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. AGNES REYES
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Credential | RN
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Telephone | 808-689-1937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | HCBS-08-002
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License Number State | HI
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