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General NPI Number Information
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NPI Number | 1093226821
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Entity Type | Organization
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Legal Business Name | JULIA SANDERSON LLC
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 10/19/2017
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Provider Practice Location Address
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Address Line | 815 ALAKEA STREET
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City | HONOLULU
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State | HI
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Zip | 96813-9681
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Country | US
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Telephone | 808-255-8836
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Fax | 808-255-8836
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Provider Business Mailing Address
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Address Line | 1065 KAWAIAHAO ST APT 2508
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City | HONOLULU
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State | HI
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Zip | 96814-4128
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Country | US
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Telephone | 808-729-8869
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | JULIA SANDERSON
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Credential |
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Telephone | 808-729-8869
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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 |
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License Number State |
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