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General NPI Number Information
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NPI Number | 1043915127
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Entity Type | Individual
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Provider Name | GRACEANN AKAZAWA
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Gender | Female
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Dates
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Enumeration Date | 03/30/2023
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 1192 SMITH ST
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City | HONOLULU
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State | HI
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Zip | 96817-5101
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Country | US
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Telephone | 760-776-3777
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1011
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City | HONOLULU
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State | HI
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Zip | 96808-1011
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW4767
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License Number State | HI
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