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General NPI Number Information
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NPI Number | 1932046174
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Entity Type | Organization
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Legal Business Name | MANOA CANON LLC
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 100 N. 18TH ST STE 300
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City | PHILADELPHIA
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State | PA
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Zip | 19103
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Country | US
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Telephone | 808-913-7741
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Fax |
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Provider Business Mailing Address
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Address Line | 909 KAPIOLANI BLVD APT 1603
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City | HONOLULU
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State | HI
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Zip | 96814-2139
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Country | US
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Telephone | 808-913-7741
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HYUNGBUM KANG
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Credential |
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Telephone | 847-252-1258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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