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NPI 1720125032

NPI 1720125032 : ALAKA'I NA KEIKI, INC. : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1720125032
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALAKA'I NA KEIKI, INC. 
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Dates
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    Enumeration Date     |    01/30/2007
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    Last Update Date     |    05/07/2008
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Provider Practice Location Address
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    Address Line         |    1100 ALAKEA ST UNIT 9
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96813-2833
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    Country              |    US
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    Telephone            |    808-523-7771
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    Fax                  |    808-523-1997
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Provider Business Mailing Address
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    Address Line         |    1100 ALAKEA ST UNIT 9
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96813-2833
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    Country              |    US
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    Telephone            |    808-523-7771
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    Fax                  |    808-523-1997
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. RICHARD J. KRAVETZ 
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    Credential           |    PH.D
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    Telephone            |    808-523-7771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TB0200X
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    Taxonomy Name        |    Cognitive & Behavioral Psychologist
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    License Number       |    PSY368
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    License Number State |    HI
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