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General NPI Number Information
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NPI Number | 1043510191
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Entity Type | Individual
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Provider Name | DIANE K GUIDICI MFT, MIN.
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Gender | Female
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 06/06/2014
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Provider Practice Location Address
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Address Line | 341 NANA PL # 1
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City | KAPAA
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State | HI
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Zip | 96746-1369
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Country | US
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Telephone | 808-821-1940
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Fax |
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Provider Business Mailing Address
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Address Line | 341 NANA PL # 1
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City | KAPAA
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State | HI
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Zip | 96746-1369
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Country | US
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Telephone | 808-821-1940
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT 21066
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | HI 2012-02432
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License Number State | HI
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