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General NPI Number Information
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NPI Number | 1669258653
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Entity Type | Organization
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Legal Business Name | HALE MAKUA HEALTH SERVICES
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 1540 LOWER MAIN ST
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City | WAILUKU
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State | HI
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Zip | 96793-1958
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Country | US
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Telephone | 808-244-3661
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Fax |
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Provider Business Mailing Address
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Address Line | 472 KAULANA ST
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City | KAHULUI
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State | HI
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Zip | 96732-2050
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | SUANNE MORIKUNI
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Credential |
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Telephone | 808-791-4485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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