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General NPI Number Information
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NPI Number | 1619877305
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Entity Type | Individual
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Provider Name | SCOTT JOHNSON MHCP, NCC
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Gender | Male
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 270 HOOKAHI ST STE 212
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City | WAILUKU
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State | HI
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Zip | 96793-1466
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Country | US
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Telephone | 808-303-1361
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Fax |
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Provider Business Mailing Address
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Address Line | 66 COOKE RD
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City | KULA
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State | HI
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Zip | 96790-8428
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Country | US
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Telephone | 808-463-9452
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHCP-114
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License Number State | HI
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