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General NPI Number Information
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NPI Number | 1598497752
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Entity Type | Individual
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Provider Name | SHAREEF JIHAD MUHAMMAD LPC
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Gender | Male
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Dates
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Enumeration Date | 06/27/2022
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Last Update Date | 06/27/2022
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Provider Practice Location Address
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Address Line | 15-2736 AHI ST
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City | PAHOA
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State | HI
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Zip | 96778-9605
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Country | US
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Telephone | 160-254-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 15-2736 AHI ST
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City | PAHOA
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State | HI
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Zip | 96778-9605
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Country | US
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Telephone | 160-254-1300
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-17049
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License Number State | AZ
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