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General NPI Number Information
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NPI Number | 1093156259
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Entity Type | Individual
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Provider Name | KALELEI H TAWATA LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 07/16/2013
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 250 ENGLAR RD STE 10
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City | WESTMINSTER
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State | MD
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Zip | 21157-2927
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Country | US
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Telephone | 410-294-9612
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Fax |
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Provider Business Mailing Address
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Address Line | 629 MARPETE DR
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City | HAMPSTEAD
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State | MD
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Zip | 21074-1740
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Country | US
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Telephone | 410-294-9612
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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 | 14772
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License Number State | MD
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