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General NPI Number Information
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NPI Number | 1154974715
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Entity Type | Individual
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Provider Name | GINGER SPAULDING PSYD
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Gender | Female
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Dates
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Enumeration Date | 07/22/2019
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Last Update Date | 02/28/2022
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Provider Practice Location Address
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Address Line | 435 ILIMANO ST
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City | KAILUA
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State | HI
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Zip | 96734-1828
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Country | US
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Telephone | 404-849-1933
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Fax |
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Provider Business Mailing Address
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Address Line | 2657 HIDDEN ESTATES CIR
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City | NAVARRE
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State | FL
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Zip | 32566-7860
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Country | US
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Telephone |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY-1949
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY8644
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 023740
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License Number State | NY
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