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General NPI Number Information
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NPI Number | 1780750372
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Entity Type | Organization
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Legal Business Name | SUSANNAH WESLEY COMMUNITY CENTER
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1117 KAILI ST
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City | HONOLULU
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State | HI
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Zip | 96819-3432
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Country | US
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Telephone | 808-847-1535
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Fax | 808-847-0787
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Provider Business Mailing Address
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Address Line | 1117 KAILI ST
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City | HONOLULU
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State | HI
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Zip | 96819-3432
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Country | US
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Telephone | 808-847-1535
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Fax | 808-847-0787
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. RONALD M. HIGASHI
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Credential | MSW
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Telephone | 808-847-1535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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