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General NPI Number Information
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NPI Number | 1689980021
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Entity Type | Individual
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Provider Name | RIE LEILANI KUHAULUA M.A., M.P.H.
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Gender | Female
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Dates
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Enumeration Date | 08/23/2010
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Last Update Date | 08/31/2010
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Provider Practice Location Address
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Address Line | 668 QUINAN ST
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City | PINOLE
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State | CA
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Zip | 94564-1621
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Country | US
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Telephone | 510-741-7286
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Fax |
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Provider Business Mailing Address
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Address Line | 1132 3RD ST
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City | RODEO
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State | CA
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Zip | 94572-1307
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Country | US
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Telephone | 510-545-3990
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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