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General NPI Number Information
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NPI Number | 1659749059
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Entity Type | Organization
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Legal Business Name | JENNIFER CARTWRIGHT LMFT
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Dates
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Enumeration Date | 09/02/2015
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Last Update Date | 09/02/2015
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Provider Practice Location Address
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Address Line | 354 ULUNIU ST STE 412
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City | KAILUA
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State | HI
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Zip | 96734-2533
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Country | US
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Telephone | 808-234-3445
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Fax | 866-606-8909
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Provider Business Mailing Address
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Address Line | 354 ULUNIU ST STE 412
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City | KAILUA
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State | HI
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Zip | 96734-2533
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Country | US
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Telephone | 808-234-3445
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Fax | 866-606-8909
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JENNIFER JOYCE CARTWRIGHT-MOSPENS
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Credential | LMFT
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Telephone | 808-234-3445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | #186
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License Number State | HI
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