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General NPI Number Information
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NPI Number | 1720558810
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Entity Type | Organization
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Legal Business Name | HAWAIIAN PARATRANSIT LLC
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Dates
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Enumeration Date | 11/30/2018
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Last Update Date | 11/30/2018
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Provider Practice Location Address
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Address Line | 557 KAULANA ST
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City | KAHULUI
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State | HI
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Zip | 96732-1920
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Country | US
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Telephone | 808-740-8868
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Fax | 808-633-4701
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Provider Business Mailing Address
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Address Line | 557 KAULANA ST
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City | KAHULUI
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State | HI
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Zip | 96732-1920
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Country | US
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Telephone | 808-740-8868
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Fax | 808-633-4701
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Authorized Official
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Title or Position | TRANSPORTATION MANAGER
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Name | MR. JEROME TANO ULEP
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Credential |
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Telephone | 808-740-8868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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