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General NPI Number Information
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NPI Number | 1790211431
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Entity Type | Individual
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Provider Name | NASH ALLEN KAWELA WITTEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 95-1249 MEHEULA PKWY
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City | MILILANI
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State | HI
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Zip | 96789-1779
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Country | US
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Telephone | 808-691-8511
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Fax | 808-686-2140
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Provider Business Mailing Address
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Address Line | 66-125 KAMEHAMEHA HWY
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City | HALEIWA
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State | HI
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Zip | 96712-1601
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Country | US
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Telephone | 808-691-8501
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Fax | 808-637-4765
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD-20991
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License Number State | HI
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