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General NPI Number Information
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NPI Number | 1720552631
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Entity Type | Organization
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Legal Business Name | PAHOA COUNSELING LLC
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Dates
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Enumeration Date | 01/14/2019
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Last Update Date | 01/14/2019
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Provider Practice Location Address
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Address Line | 15-3039 PAHOA VILLAGE RD
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City | PAHOA
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State | HI
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Zip | 96778-1104
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Country | US
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Telephone | 808-333-2449
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Fax | 808-965-8882
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Provider Business Mailing Address
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Address Line | PO BOX 1104
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City | PAHOA
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State | HI
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Zip | 96778-1104
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Country | US
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Telephone | 808-333-2449
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Fax | 808-965-8882
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Authorized Official
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Title or Position | COUNSELOR
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Name | VIRGINIA KAY WHITE
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Credential | LMHC
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Telephone | 808-333-2449
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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 |
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License Number State |
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