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General NPI Number Information
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NPI Number | 1679449466
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Entity Type | Organization
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Legal Business Name | HEIKE KHOLOOCI, PSYD LLC
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 1325 S KIHEI RD STE 221
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City | KIHEI
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State | HI
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Zip | 96753-8145
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Country | US
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Telephone | 808-830-6550
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Fax |
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Provider Business Mailing Address
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Address Line | 140 UWAPO RD APT 36-201
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City | KIHEI
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State | HI
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Zip | 96753-7440
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HEIKE KHOLOOCI
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Credential | PSYD
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Telephone | 808-830-6550
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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 |
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License Number State |
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