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General NPI Number Information
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NPI Number | 1720138894
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Entity Type | Organization
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Legal Business Name | KOKUA HEALING ARTS OF NAPLES, INC
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 10/15/2012
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Provider Practice Location Address
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Address Line | 8813 TAMIAMI TRL E
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City | NAPLES
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State | FL
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Zip | 34113-3347
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Country | US
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Telephone | 239-213-0199
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Fax | 239-649-7918
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Provider Business Mailing Address
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Address Line | 8813 TAMIAMI TRL E
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City | NAPLES
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State | FL
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Zip | 34113-3347
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Country | US
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Telephone | 239-213-0199
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Fax | 239-649-7918
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMBER J ANDEL
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Credential |
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Telephone | 239-213-0199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 30211198
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License Number State | FL
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