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General NPI Number Information
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NPI Number | 1720400286
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Entity Type | Individual
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Provider Name | KAYLA HARVEY
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Gender | Female
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Dates
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Enumeration Date | 01/16/2014
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Last Update Date | 04/15/2020
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Provider Practice Location Address
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Address Line | 75-5591 PALANI RD
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City | KAILUA KONA
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State | HI
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Zip | 96740-3631
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Country | US
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Telephone | 808-365-6874
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Fax |
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Provider Business Mailing Address
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Address Line | 76-5921 MAMALAHOA HWY UNIT 174
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City | HOLUALOA
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State | HI
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Zip | 96725-2511
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC-644
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License Number State | HI
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