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NPI 1174918361

NPI 1174918361 : STEVEN WILLIAM PAPPAS PSYD : KAPAA, HI

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General NPI Number Information
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    NPI Number           |    1174918361
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN WILLIAM PAPPAS PSYD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/03/2015
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    Last Update Date     |    01/02/2020
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Provider Practice Location Address
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    Address Line         |    4504 KUKUI ST STE 202 
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    City                 |    KAPAA
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    State                |    HI
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    Zip                  |    96746-1701
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    Country              |    US
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    Telephone            |    415-218-2964
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4875 ALIALI RD 
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    City                 |    KAPAA
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    State                |    HI
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    Zip                  |    96746-2432
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    Country              |    US
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    Telephone            |    415-218-2964
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    PSB35886
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    
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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       |    PSB35886
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    License Number State |    CA
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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       |    1829
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    License Number State |    HI
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