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NPI 1699101782

NPI 1699101782 : KATHRYN HALDIMAN RN : HAIKU, HI

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General NPI Number Information
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    NPI Number           |    1699101782
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    Entity Type          |    Individual 
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    Provider Name        |    KATHRYN HALDIMAN RN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/20/2013
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    Last Update Date     |    12/07/2025
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Provider Practice Location Address
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    Address Line         |    222 LANILOA WAY 
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    City                 |    HAIKU
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    State                |    HI
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    Zip                  |    96708-5381
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    Country              |    US
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    Telephone            |    808-446-9804
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    222 LANILOA WAY 
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    City                 |    HAIKU
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    State                |    HI
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    Zip                  |    96708-5381
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    Country              |    US
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    Telephone            |    808-446-9804
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    133N00000X
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    Taxonomy Name        |    Nutritionist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    163WN1003X
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    Taxonomy Name        |    Nutrition Support Registered Nurse
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    License Number       |    RN-86228
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    License Number State |    HI
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