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General NPI Number Information
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NPI Number | 1144385238
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Entity Type | Individual
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Provider Name | DAYAMI LIEBENGUTH PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 36065 SANTA FE AVE
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City | FORT HOOD
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State | TX
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Zip | 76544-5060
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Country | US
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Telephone | 808-392-8545
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Fax |
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Provider Business Mailing Address
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Address Line | 1003 BISHOP ST
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City | HONOLULU
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State | HI
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Zip | 96813-6400
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Country | US
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Telephone | 808-392-8545
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | POSTDOCTORAL RESIDEN
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | NONE
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY-2102
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS01168
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License Number State | RI
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