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General NPI Number Information
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NPI Number | 1831630920
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Entity Type | Organization
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Legal Business Name | KAISER FOUNDATION HEALTH PLAN, INC
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Dates
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Enumeration Date | 03/09/2017
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 910 WAINEE ST
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City | LAHAINA
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State | HI
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Zip | 96761-1622
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Country | US
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Telephone | 808-243-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 711 KAPIOLANI BLVD
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City | HONOLULU
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State | HI
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Zip | 96813-5237
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Country | US
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Telephone | 808-432-5340
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR, FINANCE LEADER
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Name | MR. JAMES G. ADAMS JR.
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Credential |
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Telephone | 808-286-6758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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