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NPI 1619834728

NPI 1619834728 : KATIE N SCHISSELL : HAIKU, HI

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General NPI Number Information
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    NPI Number           |    1619834728
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    Entity Type          |    Individual 
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    Provider Name        |    KATIE N SCHISSELL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/08/2026
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    Last Update Date     |    01/08/2026
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Provider Practice Location Address
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    Address Line         |    275 KAUPAKALUA RD 
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    City                 |    HAIKU
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    State                |    HI
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    Zip                  |    96708-5911
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    Country              |    US
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    Telephone            |    808-446-1263
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    275 KAUPAKALUA RD 
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    City                 |    HAIKU
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    State                |    HI
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    Zip                  |    96708-5911
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    Country              |    US
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    Telephone            |    808-446-1263
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    APRN-5566
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    License Number State |    HI
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