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General NPI Number Information
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NPI Number | 1396208211
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Entity Type | Individual
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Provider Name | JUDITH ELIZABETH HALL PHD, LMHC
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Gender | Female
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Dates
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Enumeration Date | 04/08/2019
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Last Update Date | 04/08/2019
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Provider Practice Location Address
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Address Line | 105 N MARKET ST STE 102
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City | WAILUKU
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State | HI
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Zip | 96793-1752
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Country | US
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Telephone | 808-344-5738
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Fax | 808-242-1469
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Provider Business Mailing Address
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Address Line | PO BOX 1163
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City | MAKAWAO
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State | HI
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Zip | 96768-1163
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Country | US
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Telephone | 808-280-9363
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Fax | 808-242-1469
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MHC-583
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License Number State | HI
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