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General NPI Number Information
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NPI Number | 1013787712
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Entity Type | Organization
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Legal Business Name | HONOLULU PSYCHOLOGY COLLECTIVE LLC
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Dates
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Enumeration Date | 01/03/2024
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 1221 KAPIOLANI BLVD PH 50
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City | HONOLULU
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State | HI
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Zip | 96814-3518
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Country | US
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Telephone | 808-260-9893
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Fax | 808-748-0433
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Provider Business Mailing Address
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Address Line | 1221 KAPIOLANI BLVD PH 50
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City | HONOLULU
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State | HI
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Zip | 96814-3518
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Country | US
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Telephone | 808-260-9893
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Fax | 808-748-0433
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MISS AMY ISAAK
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Credential |
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Telephone | 808-282-3575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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