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General NPI Number Information
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NPI Number | 1578928016
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Entity Type | Individual
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Provider Name | BRIANNA SALATER PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 12/29/2015
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Last Update Date | 12/01/2023
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Provider Practice Location Address
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Address Line | 86-260 FARRINGTON HWY
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City | WAIANAE
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State | HI
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Zip | 96792-3128
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Country | US
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Telephone | 808-697-3469
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Fax |
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Provider Business Mailing Address
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Address Line | 86-260 FARRINGTON HWY
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City | WAIANAE
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State | HI
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Zip | 96792-3128
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Country | US
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Telephone | 808-697-3469
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 16-38-PSY
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License Number State | VI
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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 | LP6232
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number |
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License Number State |
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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 | PSY-1579
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License Number State | HI
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