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General NPI Number Information
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NPI Number | 1457519985
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Entity Type | Individual
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Provider Name | R S HUNDERTMARK DNP, MSN, PMHNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 631 PAOPUA LOOP
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City | KAILUA
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State | HI
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Zip | 96734-3535
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Country | US
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Telephone | 808-994-6444
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Fax |
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Provider Business Mailing Address
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Address Line | 631 PAOPUA LOOP
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City | KAILUA
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State | HI
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Zip | 96734-3535
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Country | US
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Telephone | 808-994-6444
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN-5781-0
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 163WX0002X
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Taxonomy Name | High-Risk Obstetric Registered Nurse
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License Number | RN-69749
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License Number State | HI
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