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General NPI Number Information
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NPI Number | 1366937302
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Entity Type | Organization
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Legal Business Name | V3S INC
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Dates
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Enumeration Date | 06/22/2018
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Last Update Date | 06/22/2018
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Provider Practice Location Address
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Address Line | 4348 WAIALAE AVE
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City | HONOLULU
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State | HI
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Zip | 96816-5767
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Country | US
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Telephone | 415-209-5534
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Fax |
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Provider Business Mailing Address
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Address Line | 4348 WAIALAE AVE # 936
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City | HONOLULU
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State | HI
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Zip | 96816-5767
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | NADINE CHIANG
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Credential |
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Telephone | 415-209-5534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 403
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License Number State | HI
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