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General NPI Number Information
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NPI Number | 1700392925
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Entity Type | Individual
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Provider Name | SHARAE HAWELU BCBA, LMFT
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Gender | Female
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Dates
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Enumeration Date | 12/26/2017
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 3190 NORTHEAST EXPY NE STE 110
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City | ATLANTA
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State | GA
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Zip | 30341-5323
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Country | US
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Telephone | 404-487-6005
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Fax |
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Provider Business Mailing Address
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Address Line | 94-1221 KA UKA BLVD UNIT 108-346
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City | WAIPAHU
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State | HI
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Zip | 96797-6202
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Country | US
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Telephone | 808-437-4369
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT-867
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BA-574
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License Number State | HI
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