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General NPI Number Information
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NPI Number | 1578257895
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Entity Type | Individual
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Provider Name | EBRAJEAN UILANI SILVA FUNE LSW
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Gender | Female
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Dates
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Enumeration Date | 06/08/2023
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 15-1510 18TH AVENUE
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City | KEAAU
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State | HI
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Zip | 96749
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Country | US
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Telephone | 808-936-5346
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Fax | 808-982-5678
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Provider Business Mailing Address
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Address Line | PO BOX 4566
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City | HILO
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State | HI
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Zip | 96720-0566
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Country | US
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Telephone | 808-936-5346
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Fax | 808-982-5678
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 2090
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License Number State | HI
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