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General NPI Number Information
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NPI Number | 1124490909
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Entity Type | Organization
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Legal Business Name | JESSICA HARPER PHD LLC
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Dates
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Enumeration Date | 10/20/2015
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 407 ULUNIU ST SUITE 412
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City | KAILUA
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State | HI
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Zip | 96734-2519
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Country | US
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Telephone | 808-546-0845
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Fax |
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Provider Business Mailing Address
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Address Line | 407 ULUNIU ST SUITE 412
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City | KAILUA
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State | HI
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Zip | 96734-2519
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Country | US
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Telephone | 808-546-0845
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | JESSICA HARPER
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Credential | PHD
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Telephone | 808-546-0845
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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 | PSY1212
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License Number State | HI
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