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General NPI Number Information
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NPI Number | 1699686600
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Entity Type | Individual
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Provider Name | WILLIAM A MOUSSER
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Gender | Male
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 84-578 MANUKU STREET
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City | WAIANAE
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State | HI
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Zip | 96792
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Country | US
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Telephone | 808-306-9842
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 458
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City | WAIANAE
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State | HI
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Zip | 96792-0458
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Country | US
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Telephone | 808-306-9842
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 832-97
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License Number State | HI
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