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NPI 1801760103

NPI 1801760103 : WHOLE FOUNDATION : KAILUA KONA, HI

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General NPI Number Information
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    NPI Number           |    1801760103
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    Entity Type          |    Organization 
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    Legal Business Name  |    WHOLE FOUNDATION 
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Dates
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    Enumeration Date     |    10/01/2025
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    Last Update Date     |    10/01/2025
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Provider Practice Location Address
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    Address Line         |    76-6225 KUAKINI HWY STE C101 
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    City                 |    KAILUA KONA
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    State                |    HI
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    Zip                  |    96740-3212
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    Country              |    US
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    Telephone            |    808-854-7028
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    Fax                  |    808-854-7028
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Provider Business Mailing Address
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    Address Line         |    76-6225 KUAKINI HWY STE C101 
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    City                 |    KAILUA KONA
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    State                |    HI
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    Zip                  |    96740-3212
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    Country              |    US
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    Telephone            |    808-854-7028
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    Fax                  |    808-854-7028
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    DR. VIRGINIA B. HATCH-PIGOTT, MD, FAAP, LMSW 
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    Credential           |    MD, FAAP, MSW
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    Telephone            |    808-854-7028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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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        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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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        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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