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General NPI Number Information
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NPI Number | 1659560753
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Entity Type | Individual
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Provider Name | HAUNANI M. IAO PSY.D
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Gender | Female
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 05/04/2020
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Provider Practice Location Address
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Address Line | 664 LAUIE DR
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City | KULA
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State | HI
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Zip | 96790-7218
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Country | US
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Telephone | 808-389-2611
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 722
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City | KULA
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State | HI
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Zip | 96790-0722
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Country | US
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Telephone | 808-389-2611
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY 1210
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License Number State | HI
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