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NPI Code Detail

MEDICARE: MRS. BETTY J. HA'O

MEDICARE: MRS. BETTY J. HA'O
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1790251833
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETTY J. HA'O
Provider Business Mailing Address
First Line : 86-226 FARRINGTON HWY
Second Line :
City : WAIANAE
State : HI
Zip : 96792-3128
Country : US
Telephone Number : 808-696-4211
Fax Number : 808-696-9403
Provider Business Practice Location Address
First Line : 85-888 FARRINGTON HWY
Second Line :
City : WAIANAE
State : HI
Zip : 96792-2403
Country : US
Telephone Number : 808-696-9498
Fax Number : 808-696-9403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2018
Last Update Date : 10/16/2018

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