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General NPI Number Information
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NPI Number | 1437472933
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Entity Type | Individual
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Provider Name | CYMA B WILSON PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 05/28/2014
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Provider Practice Location Address
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Address Line | 3660 WAIALAE AVE SUITE 208
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City | HONOLULU
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State | HI
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Zip | 96816-3257
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Country | US
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Telephone | 808-256-6518
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Fax | 888-528-0731
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Provider Business Mailing Address
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Address Line | PO BOX 62055
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City | HONOLULU
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State | HI
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Zip | 96839-2055
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Country | US
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Telephone | 808-256-6518
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Fax | 888-528-0731
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY 1087
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License Number State | HI
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