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General NPI Number Information
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NPI Number | 1609783927
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Entity Type | Individual
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Provider Name | LAURA MENDOZA
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Gender | Female
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 868 ULULANI ST STE 106
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City | HILO
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State | HI
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Zip | 96720-3913
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Country | US
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Telephone | 808-518-3906
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Fax |
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Provider Business Mailing Address
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Address Line | 16-2038 PIKAKE DR
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City | PAHOA
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State | HI
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Zip | 96778-7573
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Country | US
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Telephone | 808-765-5583
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 236
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License Number State | HI
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