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General NPI Number Information
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NPI Number | 1841403292
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Entity Type | Individual
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Provider Name | JACQUELINE HARDY CPNP, APRN RX, ATC
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 642 ULUKAHIKI ST 304
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City | KAILUA
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State | HI
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Zip | 96734-4400
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Country | US
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Telephone | 808-262-5060
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Fax |
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Provider Business Mailing Address
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Address Line | 642 ULUKAHIKI ST 304
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City | KAILUA
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State | HI
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Zip | 96734-4400
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Country | US
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Telephone | 808-262-5060
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Fax |
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 147718
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 70895
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RT003342
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1868
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License Number State | HI
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