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General NPI Number Information
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NPI Number | 1528505013
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Entity Type | Organization
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Legal Business Name | PACIFIC BEHAVIORAL HEALTH LTD
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Dates
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Enumeration Date | 01/23/2017
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Last Update Date | 01/23/2017
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Provider Practice Location Address
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Address Line | 970 N KALAHEO AVE STE A314
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City | KAILUA
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State | HI
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Zip | 96734-1870
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Country | US
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Telephone | 808-225-2193
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Fax | 888-604-2131
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Provider Business Mailing Address
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Address Line | PO BOX 247
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City | KAILUA
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State | HI
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Zip | 96734-0247
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Country | US
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Telephone | 808-225-2193
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Fax | 888-604-2131
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES LIONEL SPIRA
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Credential | PHD, MPH, ABPP
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Telephone | 808-225-2193
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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 | PSY1332
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License Number State | HI
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