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General NPI Number Information
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NPI Number | 1154383552
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Entity Type | Individual
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Provider Name | CLAUDIA LP WONG MAPC MAPT LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 91-2127 FORT WEAVER RD 2ND FLOOR
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City | EVA BEACH
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State | HI
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Zip | 96706
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Country | US
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Telephone | 808-581-0087
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Fax | 808-833-5264
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Provider Business Mailing Address
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Address Line | PO BOX 235858
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City | HONOLULU
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State | HI
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Zip | 96823
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Country | US
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Telephone | 808-833-5264
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Fax | 808-833-5264
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 007
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License Number State | HI
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