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General NPI Number Information
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NPI Number | 1588562573
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Entity Type | Organization
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Legal Business Name | DEPT. OF HEALTH-HAWAII-CHILD AND ADOLESCENT MENTAL HEALTH DIVISION
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Dates
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Enumeration Date | 10/29/2026
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Last Update Date | 10/29/2026
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Provider Practice Location Address
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Address Line | 1441 KAPIOLANI BLVD STE 1503
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City | HONOLULU
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State | HI
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Zip | 96814-4471
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Country | US
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Telephone | 808-973-1001
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Fax | 808-973-1000
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Provider Business Mailing Address
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Address Line | 3627 KILAUEA AVE RM 101
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City | HONOLULU
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State | HI
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Zip | 96816-2317
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Country | US
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Telephone | 808-733-9333
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Fax | 808-733-9357
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Authorized Official
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Title or Position | PROGRAM CREDENTIALING SPECIALIST
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Name | CHRISTINA MORATIN
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Credential |
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Telephone | 808-733-7997
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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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