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General NPI Number Information
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NPI Number | 1730961897
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Entity Type | Organization
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Legal Business Name | AKAMAI INTEGRATED VENTURES, LLC
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Dates
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Enumeration Date | 10/13/2023
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 74-5577 PALANI RD UNIT 4992
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City | KAILUA KONA
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State | HI
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Zip | 96745-7220
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Country | US
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Telephone | 808-987-3957
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4992
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City | KAILUA KONA
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State | HI
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Zip | 96745-4992
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Country | US
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Telephone | 808-987-3957
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MALGORZATA B KREPPS
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Credential | LMHC
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Telephone | 808-987-3957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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