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General NPI Number Information
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NPI Number | 1962077560
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Entity Type | Organization
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Legal Business Name | CHAPLAIN MINISTRIES OF MAUI
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 1942 MAIN ST # 106A
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City | WAILUKU
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State | HI
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Zip | 96793-1750
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Country | US
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Telephone | 808-897-0527
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Fax | 877-770-2109
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Provider Business Mailing Address
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Address Line | PO BOX 330415
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City | KAHULUI
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State | HI
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Zip | 96733-0415
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Country | US
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Telephone | 813-699-9138
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Fax | 877-770-2109
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Authorized Official
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Title or Position | COO
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Name | THRESIA PHILLIPS
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Credential |
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Telephone | 813-699-9138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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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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