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NPI Code Detail

MEDICARE: CHRISTOPHER JANS TASI

MEDICARE: CHRISTOPHER JANS TASI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1376272930
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER JANS TASI
Provider Business Mailing Address
First Line : 1300 HALONA ST
Second Line :
City : HONOLULU
State : HI
Zip : 96817-2796
Country : US
Telephone Number : 808-843-5312
Fax Number :
Provider Business Practice Location Address
First Line : 1300 HALONA ST
Second Line :
City : HONOLULU
State : HI
Zip : 96817-2796
Country : US
Telephone Number : 808-843-5312
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2022
Last Update Date : 06/08/2022

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Directions to “ CHRISTOPHER JANS TASI ” Practice Location

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