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NPI 1417225236

NPI 1417225236 : MOLLY LYTTON LMFT : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1417225236
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    Entity Type          |    Individual 
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    Provider Name        |    MOLLY LYTTON LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/07/2011
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    Last Update Date     |    02/13/2019
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Provider Practice Location Address
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    Address Line         |    615 PIIKOI ST STE 1406 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96814-3141
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    Country              |    US
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    Telephone            |    808-369-3823
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    615 PIIKOI ST STE 1406 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96814-3141
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    Country              |    US
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    Telephone            |    808-253-8786
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MFT 17447
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MFT 92
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    License Number State |    HI
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