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General NPI Number Information
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NPI Number | 1699413922
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Entity Type | Organization
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Legal Business Name | HAU'OLI PIHA
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Dates
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Enumeration Date | 05/25/2022
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | 95 MAHALANI ST BLDG 528-2B
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City | WAILUKU
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State | HI
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Zip | 96793-2521
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Country | US
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Telephone | 808-930-5559
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Fax | 808-930-5559
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Provider Business Mailing Address
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Address Line | PO BOX 880339
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City | PUKALANI
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State | HI
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Zip | 96788-0339
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Country | US
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Telephone | 808-930-5559
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Fax | 808-930-5559
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. PATRICK SAKA
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Credential |
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Telephone | 808-930-5559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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