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General NPI Number Information
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NPI Number | 1528338092
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Entity Type | Individual
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Provider Name | ALLEN ROBERT NEIMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/30/2011
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Last Update Date | 12/30/2011
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Provider Practice Location Address
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Address Line | 1717 MOTT-SMITH DR #3314
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City | HONOLULU
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State | HI
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Zip | 96822-2873
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Country | US
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Telephone | 808-528-0737
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Fax | 808-521-3174
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Provider Business Mailing Address
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Address Line | 1717 MOTT-SMITH DR #3314
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City | HONOLULU
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State | HI
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Zip | 96822-2873
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Country | US
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Telephone | 808-528-0737
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Fax | 808-521-3174
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MD-4797
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number | MD-4797
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License Number State | HI
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