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General NPI Number Information
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NPI Number | 1205207305
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Entity Type | Organization
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Legal Business Name | ANNIE H. NGUYEN PSYD LLC
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Dates
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Enumeration Date | 10/14/2015
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 40 AULIKE ST SUITE 411
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City | KAILUA
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State | HI
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Zip | 96734-2758
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Country | US
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Telephone | 808-381-1838
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Fax | 808-261-8269
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Provider Business Mailing Address
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Address Line | PO BOX 640
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City | KAILUA
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State | HI
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Zip | 96734-0640
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Country | US
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Telephone | 808-381-1838
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Fax | 808-261-8269
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. ANNIE H NGUYEN
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Credential | PSYD
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Telephone | 808-381-1838
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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 1365
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License Number State | HI
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