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General NPI Number Information
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NPI Number | 1841070687
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Entity Type | Organization
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Legal Business Name | JEREMIAH S. BRENNAN
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Dates
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Enumeration Date | 09/29/2023
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Last Update Date | 09/29/2023
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Provider Practice Location Address
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Address Line | 46-001 KAMEHAMEHA HWY STE 217
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City | KANEOHE
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State | HI
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Zip | 96744-3732
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Country | US
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Telephone | 808-688-8020
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Fax | 808-260-1736
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Provider Business Mailing Address
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Address Line | PO BOX 37041
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City | HONOLULU
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State | HI
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Zip | 96837-0041
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Country | US
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Telephone | 808-688-8020
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Fax | 808-260-1736
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Authorized Official
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Title or Position | OWNER/SOLE PROPRIETOR
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Name | JEREMIAH BRENNAN
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Credential |
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Telephone | 808-688-8020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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