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General NPI Number Information
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NPI Number | 1366081465
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Entity Type | Individual
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Provider Name | ELIZABETH EBELHAR M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/06/2020
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Last Update Date | 01/06/2020
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Provider Practice Location Address
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Address Line | 221 MAHALANI ST
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City | WAILUKU
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State | HI
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Zip | 96793-2526
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Country | US
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Telephone | 270-215-6423
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Fax |
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Provider Business Mailing Address
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Address Line | 101 LULUKA PL
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City | KIHEI
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State | HI
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Zip | 96753-8987
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Country | US
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Telephone | 270-315-6423
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 1799
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License Number State | HI
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