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General NPI Number Information
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NPI Number | 1407245038
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Entity Type | Organization
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Legal Business Name | HAWAII PSYCHOLOGY COLLECTIVE
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Dates
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Enumeration Date | 01/20/2015
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Last Update Date | 01/20/2015
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Provider Practice Location Address
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Address Line | 1221 KAPIOLANI BLVD
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City | HONOLULU
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State | HI
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Zip | 96814-3503
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Country | US
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Telephone | 808-258-2287
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 KAPIOLANI BLVD PH 38
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City | HONOLULU
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State | HI
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Zip | 96814-3503
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Country | US
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Telephone | 808-258-2287
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Fax | 808-518-4724
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Authorized Official
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Title or Position | PRINCIPAL, CO-FOUNDER
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Name | DR. ALLANA MARIE COFFEE
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Credential | PH.D.
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Telephone | 808-258-2287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PSY1499
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License Number State | HI
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