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General NPI Number Information
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NPI Number | 1487908539
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Entity Type | Organization
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Legal Business Name | TRANSFORMATIONAL COUNSELING
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Dates
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Enumeration Date | 10/27/2012
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Last Update Date | 10/27/2012
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Provider Practice Location Address
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Address Line | 32 MAKAIO PL
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City | HAIKU
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State | HI
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Zip | 96708-5056
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Country | US
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Telephone | 808-280-5220
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Fax | 808-575-7337
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Provider Business Mailing Address
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Address Line | PO BOX 1161
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City | MAKAWAO
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State | HI
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Zip | 96768-1161
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Country | US
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Telephone | 808-280-5220
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAWN LOWENTHAL
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Credential | LMFT
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Telephone | 808-280-5220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT 168
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License Number State | HI
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