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General NPI Number Information
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NPI Number | 1740358118
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Entity Type | Organization
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Legal Business Name | THE ALCOHOLIC REHABILITATION SERVICES OF HAWAII INC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 11/07/2014
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Provider Practice Location Address
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Address Line | 45-845 POOKELA ST
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City | KANEOHE
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State | HI
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Zip | 96744-5700
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Country | US
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Telephone | 808-236-2600
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Fax | 808-236-2626
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Provider Business Mailing Address
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Address Line | 45-845 POOKELA ST
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City | KANEOHE
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State | HI
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Zip | 96744-5700
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Country | US
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Telephone | 808-236-2600
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Fax | 808-235-6564
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Authorized Official
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Title or Position | TECHNOLOGY DIRECTOR
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Name | MR. OLIVER C OCAMPO
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Credential |
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Telephone | 808-236-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 52STF
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License Number State | HI
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