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General NPI Number Information
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NPI Number | 1427531839
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Entity Type | Organization
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Legal Business Name | MANJARI LLC
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Dates
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Enumeration Date | 09/11/2018
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Last Update Date | 09/11/2018
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Provider Practice Location Address
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Address Line | 534 KOHALA ST
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City | KIHEI
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State | HI
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Zip | 96753-9304
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Country | US
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Telephone | 808-419-7808
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Fax |
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Provider Business Mailing Address
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Address Line | 534 KOHALA ST
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City | KIHEI
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State | HI
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Zip | 96753-9304
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Country | US
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Telephone | 808-419-7808
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Fax |
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Authorized Official
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Title or Position | MARRIAGE AND FAMILY THERAPIST
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Name | CHARLOTTE MCLAUGHLIN
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Credential | MFT
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Telephone | 808-419-7808
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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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