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General NPI Number Information
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NPI Number | 1376416453
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Entity Type | Individual
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Provider Name | SABRINA MALOLOTO LAKE LSW
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Gender | Female
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 197 SAND ISLAND ACCESS RD STE 201D
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City | HONOLULU
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State | HI
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Zip | 96819-4901
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Country | US
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Telephone | 808-533-3936
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Fax |
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Provider Business Mailing Address
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Address Line | 1345 S BERETANIA ST STE 301
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City | HONOLULU
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State | HI
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Zip | 96814-1802
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Country | US
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Telephone | 808-533-3936
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LSW-3103
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License Number State | HI
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