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General NPI Number Information
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NPI Number | 1538663968
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Entity Type | Individual
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Provider Name | JUNALI A ELEGINO
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Gender | Female
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 94-208 HAHANA WAY
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City | WAIPAHU
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State | HI
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Zip | 96797-2716
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Country | US
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Telephone | 808-205-9404
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Fax |
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Provider Business Mailing Address
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Address Line | 94-208 HAHANA WAY
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City | WAIPAHU
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State | HI
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Zip | 96797-2716
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Country | US
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Telephone | 808-205-9404
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 19-92054
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-23-14582
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-24-76788
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License Number State | HI
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