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General NPI Number Information
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NPI Number | 1437126729
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Entity Type | Individual
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Provider Name | ANNETTE K. DODD LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/05/2006
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | ARMY DESMOND DOSS HEALTH CLINIC 683 WAIANAE AVE BLDG G 2ND FLOOR
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City | WAHIAWA
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State | HI
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Zip | 96786
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Country | US
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Telephone | 808-724-4422
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Fax |
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Provider Business Mailing Address
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Address Line | 6576 104TH ST
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City | EWA BEACH
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State | HI
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Zip | 96706-3307
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Country | US
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Telephone | 808-724-4422
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 22311
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS 22311
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License Number State | CA
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