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General NPI Number Information
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NPI Number | 1891583373
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Entity Type | Organization
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Legal Business Name | ALOHA STATE OUTREACH
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 95-1001 WIKAO ST
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City | MILILANI
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State | HI
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Zip | 96789-3968
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Country | US
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Telephone | 808-780-6413
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Fax |
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Provider Business Mailing Address
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Address Line | 5635 TULIP LN
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City | HONOLULU
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State | HI
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Zip | 96818-7018
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Country | US
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Telephone | 808-780-6413
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ROMELIA THORNE
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Credential |
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Telephone | 808-780-6413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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