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General NPI Number Information
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NPI Number | 1740795277
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Entity Type | Organization
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Legal Business Name | DAWN MONTGOMERY, PSYD, LLC
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Dates
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Enumeration Date | 12/06/2017
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Last Update Date | 12/06/2017
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Provider Practice Location Address
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Address Line | 1111 BISHOP ST STE 512
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City | HONOLULU
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State | HI
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Zip | 96813-2811
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Country | US
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Telephone | 808-492-0296
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Fax |
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Provider Business Mailing Address
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Address Line | 745 ISENBERG ST APT 902
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City | HONOLULU
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State | HI
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Zip | 96826-4500
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Country | US
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Telephone | 808-492-0296
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. DAWN ELIZABETH MONTGOMERY
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Credential | PSYD
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Telephone | 808-492-0296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | PSY1467
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License Number State | HI
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