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General NPI Number Information
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NPI Number | 1356796528
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Entity Type | Organization
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Legal Business Name | ADRIANNA FLAVIN PHD LLC
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Dates
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Enumeration Date | 04/26/2016
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Last Update Date | 04/26/2016
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Provider Practice Location Address
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Address Line | 7 AEWA PL UNIT 7
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City | MAKAWAO
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State | HI
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Zip | 96768-8882
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Country | US
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Telephone | 808-446-5545
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Fax | 808-442-1058
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Provider Business Mailing Address
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Address Line | 69 ULUNUI PL
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City | MAKAWAO
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State | HI
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Zip | 96768-8523
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Country | US
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Telephone | 808-446-5545
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADRIANNA MARIE FLAVIN
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Credential | PHD
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Telephone | 808-446-5545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY1449
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License Number State | HI
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