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NPI 1477219392

NPI 1477219392 : FAST HELP CAREGIVERS : KAILUA, HI

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General NPI Number Information
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    NPI Number           |    1477219392
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    Entity Type          |    Organization 
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    Legal Business Name  |    FAST HELP CAREGIVERS 
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Dates
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    Enumeration Date     |    11/15/2021
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    Last Update Date     |    11/15/2021
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Provider Practice Location Address
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    Address Line         |    314 ULUNIU ST 
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    City                 |    KAILUA
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    State                |    HI
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    Zip                  |    96734-2584
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    Country              |    US
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    Telephone            |    808-799-2179
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    153 KUULEI RD 
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    City                 |    KAILUA
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    State                |    HI
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    Zip                  |    96734-2719
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PHYSICIAN ASSISTANT/MANAGER
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    Name                 |     NICOLE  CHRYSLER 
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    Credential           |    PA-C
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    Telephone            |    808-799-2179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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