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NPI 1699187997

NPI 1699187997 : ANDREA HIURA PSY.D. : KAILUA, HI

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General NPI Number Information
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    NPI Number           |    1699187997
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREA HIURA PSY.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/21/2014
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    Last Update Date     |    03/08/2017
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Provider Practice Location Address
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    Address Line         |    42-470 KALANIANAOLE HWY BLDG 3 
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    City                 |    KAILUA
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    State                |    HI
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    Zip                  |    96734-4373
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    Country              |    US
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    Telephone            |    808-266-9922
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    45-062 NAMOKU ST 
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    City                 |    KANEOHE
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    State                |    HI
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    Zip                  |    96744-5336
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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    |    
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    1640
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    License Number State |    HI
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