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General NPI Number Information
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NPI Number | 1851540132
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Entity Type | Organization
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Legal Business Name | THE INSTITUTE FOR FAMILY ENRICHMENT
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 615 PIIKOI ST #105
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City | HONOLULU
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State | HI
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Zip | 96814-3116
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Country | US
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Telephone | 808-596-8433
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Fax | 808-591-1017
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Provider Business Mailing Address
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Address Line | 91-452 PAPIPI DR
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City | EWA BEACH
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State | HI
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Zip | 96706-2317
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Country | US
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Telephone | 808-479-4327
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH PROVIDER
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Name | MR. JON M NAGAMINE
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Credential | M.S.C.P.
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Telephone | 808-479-4327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | H00560254
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | H00560254
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License Number State | HI
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