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General NPI Number Information
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NPI Number | 1750481966
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Entity Type | Individual
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Provider Name | TRUDY NARIKIYO GUO PHD
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 03/04/2022
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Provider Practice Location Address
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Address Line | 1050 QUEEN ST STE 100
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City | HONOLULU
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State | HI
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Zip | 96814-4130
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Country | US
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Telephone | 808-591-2533
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Fax | 808-599-2544
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Provider Business Mailing Address
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Address Line | 2101 NUUANU AVE APT 1801
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City | HONOLULU
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State | HI
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Zip | 96817-1768
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Country | US
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Telephone | 808-591-2533
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Fax | 808-599-2544
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY469
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License Number State | HI
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