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General NPI Number Information
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NPI Number | 1235628587
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Entity Type | Organization
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Legal Business Name | ELLEN R. CARINGER PHD INC.
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Dates
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Enumeration Date | 05/02/2018
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Last Update Date | 05/02/2018
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Provider Practice Location Address
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Address Line | 1885 MAIN ST STE 207
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City | WAILUKU
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State | HI
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Zip | 96793-1827
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Country | US
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Telephone | 808-249-0253
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Fax | 808-249-0223
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Provider Business Mailing Address
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Address Line | 1885 MAIN ST STE 207
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City | WAILUKU
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State | HI
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Zip | 96793-1827
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Country | US
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Telephone | 808-249-0253
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Fax | 808-249-0223
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELLEN R CARINGER
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Credential | PH.D.
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Telephone | 808-281-7463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 347
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 347
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License Number State | HI
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