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General NPI Number Information
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NPI Number | 1770260465
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Entity Type | Organization
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Legal Business Name | ALOHA PSYCHIATRY LLC
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 75-5591 PALANI RD STE 2002
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City | KAILUA KONA
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State | HI
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Zip | 96740-3634
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Country | US
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Telephone | 808-327-9609
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Fax | 808-327-9607
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Provider Business Mailing Address
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Address Line | 75-5722 KUAKINI HWY STE 103
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City | KAILUA KONA
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State | HI
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Zip | 96740-1721
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Country | US
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Telephone | 808-327-9609
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Fax | 808-444-3478
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Authorized Official
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Title or Position | PMHNP
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Name | LOGAN KOREY ADAMS
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Credential | APRN
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Telephone | 808-327-9609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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