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General NPI Number Information
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NPI Number | 1497951271
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Entity Type | Organization
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Legal Business Name | TERENCE C WADE PHD INC
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1188 BISHOP ST STE 3205
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City | HONOLULU
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State | HI
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Zip | 96813-3313
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Country | US
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Telephone | 808-545-7706
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Fax | 413-812-4219
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Provider Business Mailing Address
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Address Line | 1188 BISHOP ST STE 3205
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City | HONOLULU
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State | HI
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Zip | 96813-3313
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Country | US
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Telephone | 808-545-7706
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Fax | 413-812-4219
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MRS. DARLENE K WADE
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Credential | LCSW
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Telephone | 808-545-7706
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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 | PSY161
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW3168
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License Number State | HI
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