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General NPI Number Information
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NPI Number | 1588799373
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Entity Type | Individual
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Provider Name | SUSAN L HALL PH. D.
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Gender | Female
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4-1558 KUHIO HWY
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City | KAPAA
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State | HI
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Zip | 96746-1856
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Country | US
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Telephone | 808-651-4860
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Fax | 808-822-7048
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Provider Business Mailing Address
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Address Line | 1188 BISHOP ST SUITE 3007
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City | HONOLULU
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State | HI
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Zip | 96813-3301
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Country | US
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Telephone | 808-599-1636
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Fax | 808-599-8612
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY377
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License Number State | HI
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