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General NPI Number Information
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NPI Number | 1588097943
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Entity Type | Organization
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Legal Business Name | RICHARD M SWORD PHD INC
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Dates
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Enumeration Date | 08/20/2013
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Last Update Date | 08/20/2013
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Provider Practice Location Address
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Address Line | 30 AHUWALE PL
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City | MAKAWAO
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State | HI
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Zip | 96768-8860
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Country | US
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Telephone | 808-573-0800
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Fax | 808-573-0802
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Provider Business Mailing Address
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Address Line | 30 AHUWALE PL
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City | MAKAWAO
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State | HI
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Zip | 96768-8860
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Country | US
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Telephone | 808-573-0800
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Fax | 808-573-0802
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KATHLEEN M FERNANDEZ
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Credential |
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Telephone | 808-573-0800
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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 | PSY 262
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License Number State | HI
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