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General NPI Number Information
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NPI Number | 1841985629
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Entity Type | Organization
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Legal Business Name | KAUAI HEALTH & HEALING PARTNERS LLC
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Dates
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Enumeration Date | 04/07/2023
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Last Update Date | 04/07/2023
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Provider Practice Location Address
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Address Line | 4-1461 KUHIO HWY
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City | KAPAA
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State | HI
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Zip | 96746
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Country | US
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Telephone | 808-212-5966
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Fax | 877-681-5297
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Provider Business Mailing Address
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Address Line | 4547 PANIHI ROAD
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City | KAPAA
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State | HI
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Zip | 96746-1649
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Country | US
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Telephone | 808-212-5966
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Fax | 877-681-5297
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHANY ROSARIO HAMILTON
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Credential | DBH, LCSW
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Telephone | 808-212-5966
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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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