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General NPI Number Information
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NPI Number | 1649769019
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Entity Type | Organization
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Legal Business Name | HAWAII CLINICAL PSYCHOLOGY, LLC
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Dates
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Enumeration Date | 05/01/2018
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Last Update Date | 08/09/2021
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Provider Practice Location Address
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Address Line | 1188 BISHOP ST STE 3005
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City | HONOLULU
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State | HI
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Zip | 96813-3312
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Country | US
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Telephone | 808-778-5755
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Fax | 866-278-2435
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Provider Business Mailing Address
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Address Line | 1188 BISHOP ST STE 3005
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City | HONOLULU
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State | HI
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Zip | 96813-3312
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Country | US
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Telephone | 808-778-5755
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Fax | 866-278-2435
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CYNTHIA S J'ANTHONY
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Credential | PHD
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Telephone | 808-778-5755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | PSY-1503
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License Number State | HI
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