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General NPI Number Information
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NPI Number | 1295034973
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Entity Type | Individual
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Provider Name | ARLENE ASUNCION AGOY LSW
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Gender | Female
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 03/21/2011
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Provider Practice Location Address
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Address Line | 54 S HIGH ST ROOM 301
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City | WAILUKU
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State | HI
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Zip | 96793-2102
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Country | US
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Telephone | 808-984-2136
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Fax | 808-984-8222
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Provider Business Mailing Address
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Address Line | 54 S HIGH ST ROOM 301
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City | WAILUKU
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State | HI
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Zip | 96793-2102
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Country | US
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Telephone | 808-984-2136
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Fax | 808-984-8222
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1282
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License Number State | HI
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