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General NPI Number Information
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NPI Number | 1619677762
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Entity Type | Organization
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Legal Business Name | PEAR SUITE, INC.
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 988 HALEKAUWILA ST APT 3302
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City | HONOLULU
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State | HI
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Zip | 96814-4051
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Country | US
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Telephone | 628-204-4124
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Fax |
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Provider Business Mailing Address
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Address Line | 988 HALEKAUWILA ST APT 3302
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City | HONOLULU
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State | HI
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Zip | 96814-4051
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Country | US
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Telephone | 628-204-4124
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | COLBY TAKEDA
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Credential |
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Telephone | 808-497-6647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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