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General NPI Number Information
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NPI Number | 1811142342
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Entity Type | Organization
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Legal Business Name | PARADISE NURSING WORKFORCE
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Dates
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Enumeration Date | 11/25/2008
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Last Update Date | 11/25/2008
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Provider Practice Location Address
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Address Line | 4211 WAIALAE AVE SUITE 205
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City | HONOLULU
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State | HI
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Zip | 96816-5319
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Country | US
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Telephone | 808-735-5804
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Fax |
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Provider Business Mailing Address
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Address Line | 4211 WAIALAE AVE SUITE 205
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City | HONOLULU
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State | HI
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Zip | 96816-5319
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Country | US
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Telephone | 808-735-5804
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Fax |
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Authorized Official
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Title or Position | STAFFING MANAGER
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Name | SHAUNA LEEANN STROISCH
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Credential |
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Telephone | 808-735-5801
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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 | 397
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License Number State | HI
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