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General NPI Number Information
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NPI Number | 1518139278
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Entity Type | Organization
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Legal Business Name | MILLENNIUM NURSE OF HAWAII
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Dates
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Enumeration Date | 04/02/2008
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | 358 PAPA PL STE H1A
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City | KAHULUI
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State | HI
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Zip | 96732-2481
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Country | US
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Telephone | 610-416-6686
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1765
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City | KAHULUI
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State | HI
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Zip | 96733-1765
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Country | US
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Telephone | 610-416-6686
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PROF. PATRICIA ANNE CAROTENUTO
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Credential | RN
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Telephone | 610-416-6686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | HI
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