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General NPI Number Information
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NPI Number | 1326774761
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Entity Type | Organization
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Legal Business Name | SHEA NAKAMURA, MFT, LLC
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Dates
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Enumeration Date | 07/27/2022
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 401 KAMAKEE ST STE 405
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City | HONOLULU
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State | HI
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Zip | 96814-4261
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Country | US
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Telephone | 808-650-4678
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Fax | 833-657-6526
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Provider Business Mailing Address
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Address Line | PO BOX 240991
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City | HONOLULU
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State | HI
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Zip | 96824-0991
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Country | US
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Telephone | 808-650-4678
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Fax | 833-657-6526
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHEA NAKAMURA
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Credential | MFT
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Telephone | 808-650-4678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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