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General NPI Number Information
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NPI Number | 1922616549
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Entity Type | Organization
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Legal Business Name | CHILD AND FAMILY SERVICE
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 95-1091 AINAMAKUA DR
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City | MILILANI
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State | HI
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Zip | 96789-4252
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Country | US
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Telephone | 808-476-3314
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Fax |
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Provider Business Mailing Address
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Address Line | 95-1091 AINAMAKUA DR
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City | MILILANI
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State | HI
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Zip | 96789-4252
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Country | US
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Telephone | 808-476-3314
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Fax |
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Authorized Official
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Title or Position | CHIEF PROGRAM OFFICER
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Name | LINDA C FOX
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Credential | PH.D.
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Telephone | 808-292-3078
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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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