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General NPI Number Information
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NPI Number | 1235276080
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Entity Type | Individual
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Provider Name | KATHERINE ANN KIRK MFT
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 04/02/2021
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Provider Practice Location Address
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Address Line | 60 N BERETANIA STREET 2402
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City | HONOLULU
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State | HI
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Zip | 96817-4760
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Country | US
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Telephone | 808-215-9174
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Fax | 808-465-3261
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Provider Business Mailing Address
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Address Line | 60 N BERETANIA STREET 2402
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City | HONOLULU
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State | HI
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Zip | 96817-4760
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Country | US
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Telephone | 808-215-9174
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Fax | 707-313-9521
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC297
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC46475
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT396
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License Number State | HI
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