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General NPI Number Information
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NPI Number | 1205006806
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Entity Type | Organization
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Legal Business Name | LARRY F. SINE, PH.D., INC.
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 1188 BISHOP ST SUITE 2705
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City | HONOLULU
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State | HI
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Zip | 96813-3301
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Country | US
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Telephone | 808-531-1232
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Fax | 808-523-9375
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Provider Business Mailing Address
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Address Line | 700 RICHARDS ST SUITE 1502
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City | HONOLULU
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State | HI
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Zip | 96813-4605
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Country | US
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Telephone | 808-531-1232
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Fax | 808-523-9375
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LARRY FREDERICK SINE
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Credential | PH.D.
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Telephone | 808-531-1232
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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-293
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License Number State | HI
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