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General NPI Number Information
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NPI Number | 1942828272
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Entity Type | Organization
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Legal Business Name | WINDWARD SENIOR DAY CARE CENTER
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 07/13/2020
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Provider Practice Location Address
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Address Line | 77 N KAINALU DR
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City | KAILUA
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State | HI
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Zip | 96734-2331
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Country | US
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Telephone | 808-387-1458
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Fax |
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Provider Business Mailing Address
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Address Line | 77 N KAINALU DR
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City | KAILUA
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State | HI
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Zip | 96734-2331
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Country | US
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Telephone | 808-261-4947
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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 | ALLISON N BEAN
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Credential |
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Telephone | 808-387-1458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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