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NPI 1699906628

NPI 1699906628 : ERIN TAHAURI PSYD, LCSW : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1699906628
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    Entity Type          |    Individual 
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    Provider Name        |    ERIN TAHAURI PSYD, LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/08/2009
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    Last Update Date     |    01/29/2014
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Provider Practice Location Address
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    Address Line         |    1451 S KING ST SUITE 313
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96814-2506
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    Country              |    US
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    Telephone            |    808-384-4695
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    Fax                  |    888-393-2539
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Provider Business Mailing Address
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    Address Line         |    1451 S KING ST SUITE 313
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96814-2506
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    Country              |    US
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    Telephone            |    808-384-4695
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    Fax                  |    888-393-2539
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    3582
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    License Number State |    HI
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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    1412
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    License Number State |    HI
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