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NPI 1720947872

NPI 1720947872 : SARAH KATHLEEN ANDRE : LAHAINA, HI

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General NPI Number Information
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    NPI Number           |    1720947872
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH KATHLEEN ANDRE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/15/2026
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    Last Update Date     |    01/15/2026
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Provider Practice Location Address
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    Address Line         |    40 KUPUOHI ST STE 301 
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    City                 |    LAHAINA
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    State                |    HI
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    Zip                  |    96761-2714
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    Country              |    US
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    Telephone            |    808-446-2032
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11 WAIKALANI HEMA PL 
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    City                 |    KIHEI
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    State                |    HI
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    Zip                  |    96753-7351
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    Country              |    US
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    Telephone            |    307-250-0178
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    RBT-26-506340
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    License Number State |    HI
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