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General NPI Number Information
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NPI Number | 1205075397
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Entity Type | Individual
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Provider Name | CHARLES MUELLER LICENSED PH. D
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Gender | Male
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Dates
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Enumeration Date | 02/12/2009
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 2430 CAMPUS RD. DEPARTMENT OF PSYCHOLOGY
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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 | 808-956-6727
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Fax | 808-956-4700
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Provider Business Mailing Address
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Address Line | 3627 KILAUEA AVE
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City | HONOLULU
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State | HI
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Zip | 96816-2317
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Country | US
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Telephone | 808-944-7760
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Fax | 808-956-4700
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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-350
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License Number State | IL
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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 | PSY-350
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License Number State | HI
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