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General NPI Number Information
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NPI Number | 1437517158
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Entity Type | Organization
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Legal Business Name | SERENA TREHERN
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Dates
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Enumeration Date | 02/09/2016
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Last Update Date | 02/09/2016
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Provider Practice Location Address
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Address Line | 1054 HELE ST
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City | KAILUA
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State | HI
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Zip | 96734-3620
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Country | US
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Telephone | 808-219-0479
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Fax | 808-744-9874
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Provider Business Mailing Address
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Address Line | 1054 HELE ST
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City | KAILUA
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State | HI
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Zip | 96734-3620
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Country | US
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Telephone | 808-219-0479
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Fax | 808-744-9874
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | MS. SERENA TREHERN
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Credential | LCSW
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Telephone | 808-219-0479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 5785-C
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 4078
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License Number State | HI
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