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General NPI Number Information
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NPI Number | 1538878897
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Entity Type | Individual
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Provider Name | HAL FRASER
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Gender | Male
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Dates
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Enumeration Date | 11/15/2022
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 200 N VINEYARD BLVD STE A-600
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City | HONOLULU
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State | HI
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Zip | 96817-3950
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Country | US
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Telephone | 808-678-3814
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Fax | 808-524-1021
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Provider Business Mailing Address
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Address Line | 200 N VINEYARD BLVD STE A-600
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City | HONOLULU
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State | HI
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Zip | 96817-3950
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Country | US
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Telephone | 808-678-3814
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Fax | 808-524-1021
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 980
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License Number State | HI
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