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NPI 1740318278

NPI 1740318278 : CHILD AND FAMILY SERVICE : EWA BEACH, HI

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General NPI Number Information
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    NPI Number           |    1740318278
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHILD AND FAMILY SERVICE 
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Dates
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    Enumeration Date     |    02/28/2007
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    Last Update Date     |    05/08/2014
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Provider Practice Location Address
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    Address Line         |    91-1841 FORT WEAVER RD 
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    City                 |    EWA BEACH
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    State                |    HI
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    Zip                  |    96706-1909
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    Country              |    US
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    Telephone            |    808-681-3500
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    Fax                  |    808-681-5280
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Provider Business Mailing Address
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    Address Line         |    91-1841 FORT WEAVER RD 
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    City                 |    EWA BEACH
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    State                |    HI
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    Zip                  |    96706-1909
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    Country              |    US
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    Telephone            |    808-681-3500
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    Fax                  |    808-681-5280
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Authorized Official
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    Title or Position    |    PRESIDENT & CHIEF EXECUTIVE OFFICER
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    Name                 |    MR. HOWARD S GARVAL 
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    Credential           |    
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    Telephone            |    808-681-1418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    320600000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    320800000X
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    Taxonomy Name        |    Mental Illness Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    322D00000X
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    Taxonomy Name        |    Emotionally Disturbed Childrens' Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    HI
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Taxonomy #8
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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