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General NPI Number Information
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NPI Number | 1740872225
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Entity Type | Organization
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Legal Business Name | QUALITY CARE PREFERENCE LLC
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Dates
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Enumeration Date | 02/06/2021
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Last Update Date | 02/13/2021
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Provider Practice Location Address
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Address Line | 173 S KUKUI ST
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City | HONOLULU
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State | HI
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Zip | 96813-2320
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Country | US
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Telephone | 863-800-2018
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Fax |
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Provider Business Mailing Address
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Address Line | 1506 PIIKOI ST APT 1104
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City | HONOLULU
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State | HI
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Zip | 96822-6109
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Country | US
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Telephone | 863-800-2018
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAAGER
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Name | TESA L.HO TAPURIAH
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Credential | COMP. IN SUB. ABUSE
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Telephone | 863-800-2018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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