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General NPI Number Information
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NPI Number | 1205189974
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Entity Type | Organization
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Legal Business Name | DR GRAHAM M TAYLOR INC
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 1188 BISHOP ST SUITE 1112
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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 | 808-545-5711
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Fax |
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Provider Business Mailing Address
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Address Line | 1188 BISHOP ST 1112
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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 | 808-545-5711
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GRAHAM M TAYLOR
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Credential | PSY.D.
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Telephone | 808-545-5711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | PSY-586
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License Number State | HI
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