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General NPI Number Information
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NPI Number | 1689913048
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Entity Type | Organization
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Legal Business Name | CATHERINE PRESCOTT INC.
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Dates
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Enumeration Date | 02/05/2013
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Last Update Date | 02/05/2013
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Provider Practice Location Address
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Address Line | 333 AOLOA ST 234
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City | KAILUA
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State | HI
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Zip | 96734-3042
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Country | US
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Telephone | 808-721-4462
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Fax |
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Provider Business Mailing Address
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Address Line | 333 AOLOA ST. 234
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City | KAILUA
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State | HI
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Zip | 96734-3028
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Country | US
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Telephone | 808-721-4462
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CATHERINE PRESCOTT
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Credential |
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Telephone | 808-721-4462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW 3132
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License Number State | HI
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