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General NPI Number Information
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NPI Number | 1528453669
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Entity Type | Organization
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Legal Business Name | POWER ON COACHING, INC.
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Dates
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Enumeration Date | 04/06/2015
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 31-631 OLD MAMALAHOA HIGHWAY
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City | HAKALAU
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State | HI
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Zip | 96710
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Country | US
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Telephone | 800-775-0200
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Fax | 808-775-9007
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Provider Business Mailing Address
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Address Line | P.O. BOX 165
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City | HAKALAU
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State | HI
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Zip | 96710
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Country | US
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Telephone | 800-775-0200
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Fax | 808-775-9007
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Authorized Official
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Title or Position | C.E.O./PRESIDENT
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Name | MR. SCOTT DONOVAN SCHROEDER
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Credential |
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Telephone | 323-702-2085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 101-STF
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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