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General NPI Number Information
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NPI Number | 1023960861
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Entity Type | Organization
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Legal Business Name | MARIA PETKUS PHD, LLC
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 516 MANANAI PL APT A
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City | HONOLULU
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State | HI
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Zip | 96818-5338
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Country | US
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Telephone | 831-236-2501
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Fax |
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Provider Business Mailing Address
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Address Line | 516 MANANAI PL APT A
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City | HONOLULU
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State | HI
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Zip | 96818-5338
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Country | US
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Telephone | 808-204-1234
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. MARIA PETKUS
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Credential | PHD
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Telephone | 808-204-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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