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NPI 1376910679

NPI 1376910679 : NAPUALEI COUNSELING LLC : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1376910679
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    Entity Type          |    Organization 
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    Legal Business Name  |    NAPUALEI COUNSELING LLC 
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Dates
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    Enumeration Date     |    08/22/2015
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    Last Update Date     |    08/22/2015
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Provider Practice Location Address
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    Address Line         |    860 HALEKAUWILA ST #2902
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96813-5326
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    Country              |    US
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    Telephone            |    808-291-4347
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    860 HALEKAUWILA ST #2902
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96813-5326
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    Country              |    US
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    Telephone            |    808-291-4347
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MEMBER
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    Name                 |    MS. ELLEN I N EBERHARDT 
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    Credential           |    LCSW
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    Telephone            |    808-291-4347
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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       |    4022
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    License Number State |    HI
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