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General NPI Number Information
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NPI Number | 1568532968
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Entity Type | Individual
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Provider Name | CAROL SWANN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 285 W KAAHUMANU AVE STE 202
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City | KAHULUI
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State | HI
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Zip | 96732-1623
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Country | US
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Telephone | 866-855-2427
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Fax |
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Provider Business Mailing Address
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Address Line | 153 E KAMEHAMEHA AVE STE 104-248
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City | KAHULUI
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State | HI
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Zip | 96732-3424
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Country | US
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Telephone |
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PSY1845
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY1845
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PSY28594
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY28594
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License Number State | CA
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