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General NPI Number Information
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NPI Number | 1588931828
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Entity Type | Individual
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Provider Name | JENNIFER M KAWAI PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 934 N HACIENDA BLVD
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City | LA PUENTE
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State | CA
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Zip | 91744-2845
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Country | US
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Telephone | 626-934-1926
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Fax |
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Provider Business Mailing Address
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Address Line | 2704 IOLANI ST
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City | MAKAWAO
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State | HI
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Zip | 96768-8751
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Country | US
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Telephone | 808-280-1855
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH53213
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License Number State | CA
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