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General NPI Number Information
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NPI Number | 1548765498
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH & WELLNESS CENTER LLC
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 03/23/2018
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Provider Practice Location Address
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Address Line | 970 N KALAHEO AVE # 202
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City | KAILUA
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State | HI
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Zip | 96734-1866
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Country | US
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Telephone | 808-657-2822
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Fax |
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Provider Business Mailing Address
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Address Line | 221 AUMOE RD
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City | KAILUA
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State | HI
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Zip | 96734-3445
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Country | US
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Telephone | 808-384-0000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KARA ELIZABETH YANO
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Credential | PHD
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Telephone | 808-657-2822
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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 | PSY419
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License Number State | HI
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