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General NPI Number Information
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NPI Number | 1629032164
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Entity Type | Organization
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Legal Business Name | WAHIAWA GENERAL HOSPITAL
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Dates
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Enumeration Date | 04/13/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 128 LEHUA ST
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City | WAHIAWA
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State | HI
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Zip | 96786-2036
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Country | US
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Telephone | 808-621-8411
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Fax |
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Provider Business Mailing Address
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Address Line | 128 LEHUA ST
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City | WAHIAWA
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State | HI
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Zip | 96786-2036
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Country | US
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Telephone | 808-621-8411
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. ROBERT D. OLDEN
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Credential |
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Telephone | 808-621-8411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 9-H
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License Number State | HI
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