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General NPI Number Information
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NPI Number | 1730419581
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Entity Type | Organization
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Legal Business Name | SHEILA M. ALEXANDER BART, PSY.D., LLC
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Dates
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Enumeration Date | 12/29/2009
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Last Update Date | 01/27/2012
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Provider Practice Location Address
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Address Line | 3375 KOAPAKA ST SUITE C315
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City | HONOLULU
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State | HI
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Zip | 96819-1800
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Country | US
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Telephone | 808-387-8812
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Fax | 808-744-3099
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Provider Business Mailing Address
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Address Line | PO BOX 29282
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City | HONOLULU
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State | HI
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Zip | 96820-1682
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Country | US
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Telephone | 808-387-8812
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. SHEILA M. ALEXANDER BART
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Credential | PSY.D.
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Telephone | 808-387-8812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY-1133
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License Number State | HI
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