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General NPI Number Information
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NPI Number | 1306784095
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Entity Type | Organization
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Legal Business Name | FUSE MENTAL HEALTH
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 1050 QUEEN ST STE 200
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City | HONOLULU
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State | HI
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Zip | 96814-4130
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Country | US
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Telephone | 650-275-2585
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 QUEEN ST STE 200
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City | HONOLULU
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State | HI
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Zip | 96814-4130
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Country | US
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Telephone | 650-275-2585
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM TAYLOR PORTMAN
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Credential | MD
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Telephone | 650-275-2585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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