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General NPI Number Information
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NPI Number | 1225130826
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Entity Type | Individual
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Provider Name | ROGER SABURO HAMADA PH.D.
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Gender | Male
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1833 KALAKAUA AVE SUITE 800
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City | HONOLULU
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State | HI
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Zip | 96815-1512
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Country | US
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Telephone | 808-946-6763
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Fax | 808-951-9282
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Provider Business Mailing Address
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Address Line | 92-1248 KALEO PL
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City | KAPOLEI
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State | HI
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Zip | 96707-1535
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Country | US
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Telephone | 808-672-4865
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Fax | 808-951-9282
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY372
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License Number State | HI
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