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General NPI Number Information
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NPI Number | 1699164780
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Entity Type | Organization
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Legal Business Name | ALL ISLAND CASE MANAGEMENT CORPORATION
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Dates
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Enumeration Date | 01/13/2015
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Last Update Date | 01/13/2015
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Provider Practice Location Address
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Address Line | 1188 BISHOP ST SUITE 1508
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City | HONOLULU
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State | HI
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Zip | 96813-3301
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Country | US
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Telephone | 808-536-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 1188 BISHOP ST SUITE 1508
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City | HONOLULU
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State | HI
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Zip | 96813-3301
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Country | US
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Telephone | 808-536-7100
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | ELSA P TALAVERA
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Credential | RN
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Telephone | 808-358-8964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 1-000040
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License Number State | HI
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