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General NPI Number Information
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NPI Number | 1184972796
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Entity Type | Individual
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Provider Name | JOYCE FREDA JUANG
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Gender | Female
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 08/29/2012
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Provider Practice Location Address
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Address Line | 94-408 AKOKI ST SUITE 202
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City | WAIPAHU
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State | HI
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Zip | 96797-2733
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Country | US
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Telephone | 808-676-5584
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Fax | 808-676-5587
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Provider Business Mailing Address
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Address Line | 2102 MCKINLEY STREET
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City | HONOLULU
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State | HI
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Zip | 96822
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Country | US
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Telephone | 808-546-0407
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 1246
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License Number State | HI
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