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General NPI Number Information
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NPI Number | 1558401141
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Entity Type | Individual
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Provider Name | JEANNE A. OBERT NP, PA
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3-3420 KUHIO HWY SUITE B
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City | LIHUE
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State | HI
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Zip | 96766-1042
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Country | US
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Telephone | 808-245-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 1946 YOUNG ST SUITE 360
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City | HONOLULU
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State | HI
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Zip | 96826-2150
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Country | US
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Telephone | 808-973-7320
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Fax | 808-973-7325
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | AMD-279
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-764
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License Number State | HI
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