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General NPI Number Information
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NPI Number | 1972269991
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Entity Type | Individual
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Provider Name | KAMOMILANI ANDUHA WONG PHD, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/14/2021
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Last Update Date | 11/14/2021
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Provider Practice Location Address
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Address Line | 1314 S KING ST STE 1555
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City | HONOLULU
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State | HI
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Zip | 96814-2073
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Country | US
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Telephone | 808-589-5904
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Fax |
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Provider Business Mailing Address
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Address Line | 1512 ALA MAHAMOE ST
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City | HONOLULU
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State | HI
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Zip | 96819-1765
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Country | US
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Telephone | 808-772-6825
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN55102
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License Number State | HI
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