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1235421926 NPI number — ROBYN MAHANA SANDEFUR PSY D

NPI Number: 1235421926
Health Care Provider/Practitioner: ROBYN MAHANA SANDEFUR PSY D

Information about “1235421926” NPI (ROBYN MAHANA SANDEFUR PSY D) exists in 1235421926 in HTML format HTML  |  1235421926 in plain Text format TXT  |  1235421926 in PDF (Portable Document Format) PDF  |  1235421926 in an XML format XML  formats.

NPI Number : 1235421926 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235421926",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SANDEFUR",
    "FirstName": "ROBYN",
    "MiddleName": "MAHANA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PSY D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHANG",
    "OtherFirstName": "ROBYN",
    "OtherMiddleName": "MAHANA",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "PSY D",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "401 KAMAKE'E STREET",
    "SecondLineMailingAddress": "SUITE 409",
    "MailingAddressCityName": "HONOLULU",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96814",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-729-7698",
    "MailingAddressFaxNumber": "866-313-3630",
    "FirstLinePracticeLocationAddress": "401 KAMAKEE STREET",
    "SecondLinePracticeLocationAddress": "SUITE 409",
    "PracticeLocationAddressCityName": "HONOLULU",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96814",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-729-7698",
    "PracticeLocationAddressFaxNumber": "866-313-3630",
    "EnumerationDate": "05/12/2011",
    "LastUpdateDate": "06/28/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "PSY-1255",
        "LicenseNumberStateCode": "HI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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