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General NPI Number Information
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NPI Number | 1306107362
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Entity Type | Individual
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Provider Name | JULIA CARLISLE BELLAMY LEE LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 05/20/2015
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Provider Practice Location Address
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Address Line | 1427 DILLINGHAM BLVD STE 201
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City | HONOLULU
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State | HI
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Zip | 96817-4833
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Country | US
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Telephone | 808-284-1487
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 240129
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City | HONOLULU
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State | HI
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Zip | 96824-0129
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Country | US
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Telephone | 808-284-1487
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 096810302
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License Number State | HI
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