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General NPI Number Information
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NPI Number | 1669605598
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Entity Type | Organization
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Legal Business Name | HALE HO'OKUPA'A
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Dates
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Enumeration Date | 08/26/2009
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Last Update Date | 08/26/2009
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Provider Practice Location Address
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Address Line | 450 ALA MALAMA AVENUE
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City | KAUNAKAKAI
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State | HI
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Zip | 96748
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Country | US
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Telephone | 808-553-3231
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Fax | 808-553-5474
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Provider Business Mailing Address
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Address Line | PO BOX 1812
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City | KAUNAKAKAI
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State | HI
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Zip | 96748-1812
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Country | US
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Telephone | 808-553-3231
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Fax | 808-553-5474
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. CATHERINE INOUYE
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Credential |
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Telephone | 808-553-3231
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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 | W40453306-01
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License Number State | HI
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