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General NPI Number Information
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NPI Number | 1720244718
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Entity Type | Individual
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Provider Name | JAN KANANI THOMAS MSCP,NCC,LMHC,CSAC
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Gender | Female
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 10/13/2011
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Provider Practice Location Address
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Address Line | 357 ULUA ROAD
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City | KAUNAKAKAI
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State | HI
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Zip | 96748-1751
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Country | US
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Telephone | 808-741-3223
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1751
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City | KAUNAKAKAI
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State | HI
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Zip | 96748-1751
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Country | US
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Telephone | 808-553-5556
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1117-02
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 22453
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 24
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 60478
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License Number State | HI
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