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General NPI Number Information
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NPI Number | 1982493623
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Entity Type | Organization
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Legal Business Name | KANENUIAKEA LLC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 2176 LAUWILIWILI ST #1 UNIT-22
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City | KAPOLEI
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State | HI
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Zip | 96707
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Country | US
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Telephone | 808-284-1906
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Fax |
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Provider Business Mailing Address
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Address Line | 680 ALA MOANA BLVD APT 311
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City | HONOLULU
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State | HI
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Zip | 96813-5420
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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 | OWNER
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Name | ERROL EUGENE LEE
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Credential | LCSW
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Telephone | 808-284-1906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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