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General NPI Number Information
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NPI Number | 1356741045
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Entity Type | Individual
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Provider Name | WENDY FRASHURE TRESIDDER LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/29/2014
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Last Update Date | 08/29/2014
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Provider Practice Location Address
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Address Line | 161 WAILEA IKE PL C102
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City | KIHEI
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State | HI
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Zip | 96753-6521
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Country | US
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Telephone | 808-283-8765
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1273
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City | PUUNENE
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State | HI
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Zip | 96784-1273
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Country | US
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Telephone | 808-283-8765
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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 | 3805
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License Number State | HI
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