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General NPI Number Information
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NPI Number | 1932704350
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Entity Type | Organization
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Legal Business Name | DLMC, INC.
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Dates
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Enumeration Date | 12/02/2020
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 2980 EWALU ST
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City | LIHUE
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State | HI
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Zip | 96766-1809
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Country | US
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Telephone | 808-246-6555
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1238
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City | AIEA
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State | HI
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Zip | 96701-1238
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LETICIA FAJARDO DEXTER
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Credential |
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Telephone | 808-422-2802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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