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NPI 1376572362

NPI 1376572362 : JAMES SPRINGER LCSW : AIEA, HI

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General NPI Number Information
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    NPI Number           |    1376572362
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES SPRINGER LCSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/02/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    98-211 PALI MOMI ST SUITE 606
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    City                 |    AIEA
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    State                |    HI
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    Zip                  |    96701-4301
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    Country              |    US
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    Telephone            |    808-277-3707
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    Fax                  |    808-626-2672
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Provider Business Mailing Address
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    Address Line         |    95-1143 MAKAIKAI ST APT. 84
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    City                 |    MILILANI
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    State                |    HI
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    Zip                  |    96789-5301
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    Country              |    US
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    Telephone            |    808-277-3707
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    Fax                  |    808-626-2672
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    LCSW-3230
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    License Number State |    HI
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