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General NPI Number Information
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NPI Number | 1952837130
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Entity Type | Organization
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Legal Business Name | AKAMAI HEALTHCARE SERVICES INC.
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Dates
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Enumeration Date | 05/07/2017
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Last Update Date | 05/07/2017
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Provider Practice Location Address
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Address Line | 949 MAKAMUA PL
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City | PEARL CITY
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State | HI
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Zip | 96782-2012
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Country | US
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Telephone | 808-455-8746
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Fax | 808-455-4676
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Provider Business Mailing Address
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Address Line | 949 MAKAMUA PL
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City | PEARL CITY
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State | HI
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Zip | 96782-2012
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Country | US
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Telephone | 808-455-8746
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Fax | 808-455-4676
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MYLENE JOHNSON
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Credential |
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Telephone | 808-772-3409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | HI
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