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General NPI Number Information
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NPI Number | 1275926248
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Entity Type | Organization
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Legal Business Name | CYNTHIA G MEYER
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Dates
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Enumeration Date | 03/13/2015
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Last Update Date | 03/13/2015
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Provider Practice Location Address
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Address Line | 74-381 KEALAKEHE PKWY #F
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City | KAILUA KONA
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State | HI
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Zip | 96740-2705
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Country | US
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Telephone | 808-345-5130
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5620
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City | HILO
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State | HI
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Zip | 96720-8620
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Country | US
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Telephone | 808-345-5130
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | MS. CYNTHIA GILLIAN MEYER
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Credential | LCSW
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Telephone | 808-345-5130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 3991
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License Number State | HI
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