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General NPI Number Information
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NPI Number | 1669199931
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Entity Type | Organization
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Legal Business Name | ARTPATH HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 10/26/2022
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 680 ALA MOANA BLVD APT 310
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City | HONOLULU
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State | HI
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Zip | 96813-5420
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Country | US
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Telephone | 808-866-3405
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Fax |
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Provider Business Mailing Address
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Address Line | 680 ALA MOANA BLVD APT 310
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City | HONOLULU
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State | HI
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Zip | 96813-5420
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Country | US
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Telephone | 808-866-3405
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Fax |
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Authorized Official
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Title or Position | CEO/THERAPIST
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Name | NANCY LYNNE LAUTENBACH
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Credential | MA, LMHC, ATR
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Telephone | 808-866-3405
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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 |
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License Number State |
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