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General NPI Number Information
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NPI Number | 1346424850
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Entity Type | Individual
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Provider Name | MELISSA FRANCES SIPOLT MFT-420 HAWAII
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Gender | Female
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 01/30/2020
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Provider Practice Location Address
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Address Line | 93 N KAINALU DR
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City | KAILUA
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State | HI
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Zip | 96734-2331
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Country | US
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Telephone | 808-688-4228
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Fax |
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Provider Business Mailing Address
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Address Line | 384 KAIMAKE LOOP
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City | KAILUA
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State | HI
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Zip | 96734-2019
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Country | US
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Telephone | 808-688-4228
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Fax | 808-260-9880
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT44280
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT-420
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License Number State | HI
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