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General NPI Number Information
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NPI Number | 1730337346
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Entity Type | Individual
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Provider Name | STANLEY EDWARD WIPFLI
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Gender | Male
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 3030 PUALEI CIR APT 112
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City | HONOLULU
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State | HI
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Zip | 96815-4928
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Country | US
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Telephone | 510-981-9494
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Fax |
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Provider Business Mailing Address
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Address Line | 3030 PUALEI CIR APT 112
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City | HONOLULU
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State | HI
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Zip | 96815-4928
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Country | US
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Telephone | 510-981-9494
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L14122
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License Number State | OR
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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 | LCSW-23044
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License Number State | AZ
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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 | 83746
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-4787
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License Number State | HI
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