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General NPI Number Information
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NPI Number | 1588241814
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Entity Type | Organization
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Legal Business Name | AKUA TREATMENT CENTER
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 03/24/2021
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Provider Practice Location Address
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Address Line | 16-270 ORCHIDLAND DRIVE
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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 | 808-769-3414
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Fax |
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Provider Business Mailing Address
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Address Line | HC 2 BOX 5682
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City | KEAAU
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State | HI
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Zip | 96749-9406
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Country | US
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Telephone | 808-769-3414
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | MRS. RACHEL BOYCE
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Credential | DNP
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Telephone | 808-769-3414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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