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General NPI Number Information
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NPI Number | 1710105473
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Entity Type | Individual
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Provider Name | JOSEPH KEAWE'AIMOKU KAHOLOKULA PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 651 ILALO ST MEB 307-H
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City | HONOLULU
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State | HI
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Zip | 96813-5525
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Country | US
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Telephone | 808-692-1047
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Fax | 808-692-1255
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Provider Business Mailing Address
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Address Line | 2316 KANEALII AVE FRONT HOUSE
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City | HONOLULU
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State | HI
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Zip | 96813-1344
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Country | US
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Telephone | 808-221-2481
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Fax | 808-692-1255
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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 | PSY977
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License Number State | HI
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