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General NPI Number Information
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NPI Number | 1518333244
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Entity Type | Individual
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Provider Name | KELLY E. DEVINE-HOPE LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/17/2015
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Last Update Date | 07/25/2018
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Provider Practice Location Address
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Address Line | 377 KEAHOLE ST
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City | HONOLULU
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State | HI
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Zip | 96825
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Country | US
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Telephone | 347-573-1838
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Fax |
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Provider Business Mailing Address
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Address Line | 377 KEAHOLE ST
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City | HONOLULU
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State | HI
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Zip | 96825
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Country | US
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Telephone | 347-573-1838
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4058
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License Number State | HI
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