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General NPI Number Information
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NPI Number | 1457410532
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Entity Type | Organization
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Legal Business Name | KAPOLEI COUNSELING LTD
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 91-110 HANUA ST #208A
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City | KAPOLEI
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State | HI
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Zip | 96707-1742
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Country | US
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Telephone | 808-682-5808
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Fax | 808-682-5808
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Provider Business Mailing Address
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Address Line | 91-110 HANUA ST #208A
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City | KAPOLEI
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State | HI
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Zip | 96707-1742
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Country | US
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Telephone | 808-682-5808
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Fax | 808-682-5808
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | DR. NADA ROSE MANGIALETTI
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Credential | PH.D.
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Telephone | 808-682-5808
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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 | 307
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License Number State | HI
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