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General NPI Number Information
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NPI Number | 1497148670
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Entity Type | Individual
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Provider Name | TIMOTHY LINDSEY M.A.
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Gender | Male
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Dates
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Enumeration Date | 03/11/2015
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Last Update Date | 03/12/2021
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Provider Practice Location Address
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Address Line | 1325 S KIHEI RD STE 205
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City | KIHEI
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State | HI
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Zip | 96753-8145
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Country | US
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Telephone | 808-280-4577
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1101
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City | KIHEI
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State | HI
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Zip | 96753-1101
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Country | US
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Telephone | 808-280-4577
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT-532
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License Number State | HI
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