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General NPI Number Information
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NPI Number | 1508344953
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Entity Type | Organization
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Legal Business Name | YAMASHIRO CARE HOME LLC
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Dates
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Enumeration Date | 07/29/2018
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Last Update Date | 07/29/2018
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Provider Practice Location Address
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Address Line | 45-386 KAMEHAMEHA HWY
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City | KANEOHE
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State | HI
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Zip | 96744-5213
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Country | US
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Telephone | 808-285-2604
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Fax | 808-247-1776
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Provider Business Mailing Address
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Address Line | PO BOX 191
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City | KANEOHE
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State | HI
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Zip | 96744-0191
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Country | US
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Telephone | 808-285-2604
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Fax | 808-247-1776
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Authorized Official
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Title or Position | OWNER
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Name | VIVIAN CURATO YAMASHIRO
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Credential | CNA, MA
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Telephone | 808-285-2604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HI030703898
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License Number State | HI
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