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General NPI Number Information
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NPI Number | 1336894278
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Entity Type | Organization
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Legal Business Name | POSITIVE PERSPECTIVE LLC (D/B/A)
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Dates
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Enumeration Date | 02/18/2022
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 91-1023 KAIHOHONU ST
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City | EWA BEACH
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State | HI
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Zip | 96706-6203
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Country | US
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Telephone | 808-491-5533
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Fax | 888-391-1445
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Provider Business Mailing Address
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Address Line | 91-1023 KAIHOHONU ST
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City | EWA BEACH
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State | HI
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Zip | 96706-6203
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Country | US
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Telephone | 808-491-5533
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Fax | 888-391-1445
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Authorized Official
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Title or Position | PRESIDENT/CLINICIAN
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Name | DR. REBECCA LEE ROSS
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Credential | APRN
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Telephone | 808-491-5533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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