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General NPI Number Information
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NPI Number | 1467776765
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Entity Type | Individual
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Provider Name | MAUREEN E MENCH PSY.D
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Gender | Female
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Dates
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Enumeration Date | 03/16/2010
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Last Update Date | 08/05/2014
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Provider Practice Location Address
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Address Line | 40 AULIKE ST SUITE 411
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City | KAILUA
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State | HI
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Zip | 96734-2758
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Country | US
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Telephone | 808-394-7830
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Fax |
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Provider Business Mailing Address
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Address Line | 1464 ULUHALA PL
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City | KAILUA
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State | HI
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Zip | 96734-4413
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Country | US
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Telephone | 808-394-7830
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY-1101
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License Number State | HI
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