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General NPI Number Information
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NPI Number | 1609388172
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Entity Type | Individual
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Provider Name | CIRO DUFRAYER LCSW
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Gender | Male
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Dates
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Enumeration Date | 10/24/2017
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Last Update Date | 07/13/2025
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Provider Practice Location Address
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Address Line | 15-1293 AUINA RD
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City | PAHOA
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State | HI
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Zip | 96778-9668
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Country | US
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Telephone | 929-233-4275
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 321
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City | HILO
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State | HI
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Zip | 96721-0321
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-4733
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License Number State | HI
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