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General NPI Number Information
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NPI Number | 1508098773
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Entity Type | Individual
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Provider Name | LISA RENEE KAMAKA'ALA MFT, CSAC
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Gender | Female
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 03/24/2014
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Provider Practice Location Address
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Address Line | 354 ULUNIU ST SUITE 100B
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City | KAILUA
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State | HI
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Zip | 96734-2528
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Country | US
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Telephone | 808-206-0928
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4394
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City | KANEOHE
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State | HI
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Zip | 96744-8394
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Country | US
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Telephone | 808-206-0928
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 361
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | HI
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