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General NPI Number Information
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NPI Number | 1083424220
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Entity Type | Organization
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Legal Business Name | CHILD AUTISM AND NEURODEVELOPMENTAL EVALUATIONS LLP
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 4840 KILAUEA AVE APT 2
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City | HONOLULU
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State | HI
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Zip | 96816-5716
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Country | US
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Telephone | 808-428-9401
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Fax |
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Provider Business Mailing Address
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Address Line | 91-1121 KEAUNUI DR STE 108 PMB 240
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City | EWA BEACH
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State | HI
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Zip | 96706-6365
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Country | US
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Telephone | 808-428-9401
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/TREASURER
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Name | DR. JULIA KAY ROCCA FUJIKI
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Credential | PSYD
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Telephone | 808-428-9401
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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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