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General NPI Number Information
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NPI Number | 1770059842
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Entity Type | Organization
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Legal Business Name | PROMISE HOME CARE HAWAII INC
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Dates
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Enumeration Date | 10/16/2018
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Last Update Date | 04/07/2020
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Provider Practice Location Address
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Address Line | 1500 KAPIOLANI BLVD STE 102B
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City | HONOLULU
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State | HI
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Zip | 96814-3732
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Country | US
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Telephone | 808-260-1187
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Fax | 808-260-4035
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Provider Business Mailing Address
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Address Line | 1500 KAPIOLANI BLVD STE 102B
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City | HONOLULU
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State | HI
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Zip | 96814-3732
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Country | US
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Telephone | 808-260-1187
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Fax | 808-260-4035
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Authorized Official
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Title or Position | PRESIDENT
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Name | HYE R KIM
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Credential |
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Telephone | 929-499-7799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home 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 | 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 #3
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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 |
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