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General NPI Number Information
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NPI Number | 1386349009
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Entity Type | Individual
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Provider Name | STEPHANIE ARANDA SMYTHE MSW
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Gender | Female
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | HAWAII DOE 1390 MILLER ST.
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City | HONOLULU
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State | HI
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Zip | 96813
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Country | US
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Telephone | 618-751-0722
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Fax |
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Provider Business Mailing Address
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Address Line | 310 KAMEHAMEHA HWY APT 217
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City | AIEA
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State | HI
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Zip | 96701-5316
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Country | US
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Telephone | 808-342-0955
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | HI
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