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General NPI Number Information
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NPI Number | 1578615514
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Entity Type | Organization
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Legal Business Name | BIG ISLAND SUBSTANCE ABUSE COUNCIL
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/29/2013
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Provider Practice Location Address
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Address Line | 297 WAIANUENUE AVENUE
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City | HILO
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State | HI
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Zip | 96720-2438
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Country | US
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Telephone | 808-935-4927
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Fax | 808-934-8067
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Provider Business Mailing Address
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Address Line | 16-179 MELEKAHIWA STREET
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City | KEA'AU
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State | HI
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Zip | 96749
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Country | US
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Telephone | 808-969-9994
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Fax | 808-969-7570
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Authorized Official
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Title or Position | CEO
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Name | DR. HANNAH K PRESTON-PITA
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Credential | PSY.D
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Telephone | 808-969-9994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | HI
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