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General NPI Number Information
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NPI Number | 1508011214
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Entity Type | Organization
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Legal Business Name | CLAUDETTE H. OZOA, PH.D. LLC
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Dates
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Enumeration Date | 11/21/2008
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | 1188 BISHOP ST SUITE 1208
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City | HONOLULU
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State | HI
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Zip | 96813-3301
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Country | US
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Telephone | 808-734-2897
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Fax |
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Provider Business Mailing Address
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Address Line | 4348 WAIALAE AVE # 403
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City | HONOLULU
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State | HI
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Zip | 96816-5767
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Country | US
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Telephone | 808-284-3601
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Fax | 888-668-8527
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CLAUDETTE HARUKO OZOA
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Credential | PH.D.
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Telephone | 808-284-3601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PSY-751
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License Number State | HI
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