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General NPI Number Information
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NPI Number | 1356885784
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Entity Type | Organization
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Legal Business Name | HAWAII INSIGHT THERAPY LLC
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Dates
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Enumeration Date | 12/04/2016
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Last Update Date | 10/04/2019
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Provider Practice Location Address
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Address Line | 1051 KEOLU DR STE 291
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City | KAILUA
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State | HI
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Zip | 96734-3868
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Country | US
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Telephone | 808-491-7880
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Fax |
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Provider Business Mailing Address
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Address Line | 1051 KEOLU DR STE 291
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City | KAILUA
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State | HI
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Zip | 96734-3868
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Country | US
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Telephone | 808-491-7880
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Fax |
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Authorized Official
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Title or Position | PROVIDER/ PRACTICE MANAGER
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Name | MELANIE MARION OLIVEIRA
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Credential |
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Telephone | 808-491-7880
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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 | 3948
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License Number State | HI
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