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General NPI Number Information
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NPI Number | 1205704020
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Entity Type | Organization
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Legal Business Name | DR MARLENA FARM - MAUI PSYCHOLOGY
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Dates
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Enumeration Date | 10/24/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 3612 BALDWIN AVE STE 107
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City | MAKAWAO
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State | HI
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Zip | 96768-9521
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Country | US
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Telephone | 808-633-1805
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 880040
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City | PUKALANI
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State | HI
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Zip | 96788-0040
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARLENA FARM
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Credential |
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Telephone | 808-633-1805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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