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General NPI Number Information
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NPI Number | 1578272506
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Entity Type | Individual
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Provider Name | ANELA OKALANI FERNANDEZ
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Gender | Female
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Dates
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Enumeration Date | 11/17/2022
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 1402 GLEN AVE
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City | WAHIAWA
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State | HI
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Zip | 96786-2406
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Country | US
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Telephone | 808-622-6393
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Fax |
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Provider Business Mailing Address
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Address Line | 4234 KEAKA DR
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City | HONOLULU
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State | HI
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Zip | 96818-1107
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Country | US
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Telephone | 808-649-9431
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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 | RBT-21-154080
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License Number State | HI
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