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General NPI Number Information
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NPI Number | 1730288473
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Entity Type | Individual
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Provider Name | CAROLEE PATRICIA VAN STRIEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 95-1180 MAKAIKAI STREET, #74
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City | MILILANI
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State | HI
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Zip | 96789
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Country | US
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Telephone | 949-633-2281
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Fax | 949-830-5530
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Provider Business Mailing Address
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Address Line | 95-1180 MAKAIKAI STREET, #74
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City | MILILANI
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State | HI
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Zip | 96789
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Country | US
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Telephone | 949-633-2281
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Fax | 949-830-5530
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS 22974
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW3785
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS22974
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License Number State | CA
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