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General NPI Number Information
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NPI Number | 1417372681
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Entity Type | Individual
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Provider Name | ANGELA KREY M.A.
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Gender | Female
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Dates
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Enumeration Date | 02/25/2014
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Last Update Date | 04/04/2019
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Provider Practice Location Address
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Address Line | 3660 BALDWIN AVE
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City | MAKAWAO
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State | HI
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Zip | 96768-7503
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Country | US
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Telephone | 808-868-9208
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Fax |
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Provider Business Mailing Address
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Address Line | 150 PULEHUNUI RD
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City | KULA
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State | HI
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Zip | 96790-9718
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Country | US
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Telephone | 808-868-9208
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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 |
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License Number State |
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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-592
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License Number State | HI
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