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General NPI Number Information
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NPI Number | 1760275937
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Entity Type | Organization
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Legal Business Name | KAYLIN KIANI WONG KAAUA, FNP-C, LLC
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 670 PONAHAWAI ST STE 200
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City | HILO
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State | HI
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Zip | 96720-7830
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Country | US
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Telephone | 808-961-5922
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Fax |
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Provider Business Mailing Address
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Address Line | 178 W KAWAILANI ST
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City | HILO
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State | HI
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Zip | 96720-5472
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Country | US
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Telephone | 808-756-7061
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAYLIN KIANI WONG KAAUA
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Credential | NP
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Telephone | 808-756-7061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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