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General NPI Number Information
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NPI Number | 1689947913
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Entity Type | Organization
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Legal Business Name | HAWAII HOME CARE MANAGEMENT LLC
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Dates
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Enumeration Date | 02/16/2012
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Last Update Date | 02/16/2012
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Provider Practice Location Address
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Address Line | 94-1035 LEIHAKU ST
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City | WAIPAHU
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State | HI
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Zip | 96797-5257
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Country | US
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Telephone | 808-636-6568
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Fax | 808-626-5968
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Provider Business Mailing Address
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Address Line | 94-1035 LEIHAKU ST
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City | WAIPAHU
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State | HI
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Zip | 96797-5257
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Country | US
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Telephone | 808-636-6568
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Fax | 808-626-5968
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. HIROKO NAKASONE
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Credential |
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Telephone | 808-636-6568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | W01040468-01
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License Number State | HI
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