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General NPI Number Information
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NPI Number | 1285809806
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Entity Type | Individual
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Provider Name | WIOLETTA M WATT M.A.-PSYCHOLOGY
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Gender | Female
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 4-1579 KUHIO HWY SUITE 201A
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City | KAPAA
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State | HI
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Zip | 96746-1859
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Country | US
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Telephone | 808-821-0574
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Fax | 808-822-2109
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Provider Business Mailing Address
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Address Line | 4-1579 KUHIO HWY SUITE 201A
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City | KAPAA
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State | HI
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Zip | 96746-1859
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Country | US
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Telephone | 808-821-0574
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Fax | 808-822-2109
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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