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NPI 1669368940

NPI 1669368940 : GEORGE L. HANAWAHINE, PHD, LLC : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1669368940
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    Entity Type          |    Organization 
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    Legal Business Name  |    GEORGE L. HANAWAHINE, PHD, LLC 
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Dates
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    Enumeration Date     |    06/14/2025
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    Last Update Date     |    06/14/2025
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Provider Practice Location Address
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    Address Line         |    1441 KAPIOLANI BLVD STE 1802 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96814-4408
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    Country              |    US
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    Telephone            |    808-728-8564
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    Fax                  |    808-356-0251
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Provider Business Mailing Address
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    Address Line         |    6070 KALANIANAOLE HWY 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96821-2333
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    Country              |    US
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    Telephone            |    808-728-8564
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    Fax                  |    808-356-0251
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Authorized Official
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    Title or Position    |    OWNER/LICENSED PSYCHOLOGIST
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    Name                 |    DR. GEORGE L. HANAWAHINE 
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    Credential           |    PHD
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    Telephone            |    808-728-8564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    
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