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General NPI Number Information
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NPI Number | 1508923772
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Entity Type | Individual
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Provider Name | AGNES FELIX PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 94-210 PUPUKAHI ST STE 207
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City | WAIPAHU
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State | HI
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Zip | 96797-2649
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Country | US
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Telephone | 808-382-6816
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2224
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City | EWA BEACH
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State | HI
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Zip | 96706-0224
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Country | US
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Telephone | 808-382-6816
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY-883
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY12604
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License Number State | FL
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