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NPI 1053532473

NPI 1053532473 : SHIRLEY ANN OAKES CSW : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1053532473
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    Entity Type          |    Individual 
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    Provider Name        |    SHIRLEY ANN OAKES CSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/01/2007
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    Last Update Date     |    07/13/2012
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Provider Practice Location Address
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    Address Line         |    460 ENA RD SUITE 505
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96815-1779
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    Country              |    US
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    Telephone            |    808-255-6482
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    Fax                  |    808-836-3082
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Provider Business Mailing Address
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    Address Line         |    1379 MOANALUALANI PL APT B 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96819-1237
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    Country              |    US
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    Telephone            |    808-255-6482
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    Fax                  |    808-836-3082
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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       |    LCSW-3169
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    License Number State |    HI
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