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General NPI Number Information
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NPI Number | 1508154113
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Entity Type | Organization
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Legal Business Name | OHANA PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 07/16/2011
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Last Update Date | 08/12/2011
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Provider Practice Location Address
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Address Line | 1314 S KING ST SUITE 864
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City | HONOLULU
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State | HI
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Zip | 96814-1956
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Country | US
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Telephone | 808-596-8899
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Fax |
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Provider Business Mailing Address
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Address Line | 1314 S KING ST STE 864
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City | HONOLULU
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State | HI
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Zip | 96814-1943
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Country | US
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Telephone | 808-596-8899
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. WILLIAM J MARKS
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Credential | PH.D.
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Telephone | 808-596-8899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY 1266
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License Number State | HI
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