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General NPI Number Information
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NPI Number | 1215201421
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Entity Type | Organization
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Legal Business Name | HAWAII CENTER FOR HEALING, LLC
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Dates
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Enumeration Date | 03/06/2012
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 928 NUUANU AVE LOWER LEVEL 2
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City | HONOLULU
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State | HI
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Zip | 96817-5190
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Country | US
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Telephone | 808-538-2800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10649
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City | HONOLULU
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State | HI
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Zip | 96816-0649
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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 | MEMBER
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Name | DR. HENRY BECK
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Credential | PSYD
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Telephone | 808-397-1737
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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 |
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License Number State |
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