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General NPI Number Information
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NPI Number | 1902977440
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Entity Type | Organization
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Legal Business Name | KAU HOSPITAL
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 1 KAMANI STREET
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City | PAHALA
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State | HI
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Zip | 96777
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Country | US
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Telephone | 808-928-2050
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Fax | 808-928-8980
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Provider Business Mailing Address
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Address Line | PO BOX 40
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City | PAHALA
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State | HI
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Zip | 96777-0040
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Country | US
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Telephone | 808-928-2050
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Fax | 808-928-8980
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DENISE MACKEY
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Credential |
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Telephone | 808-932-4102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 12Z301
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License Number State | HI
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