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General NPI Number Information
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NPI Number | 1760244586
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Entity Type | Individual
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Provider Name | FAITH ANGUS GILLEY LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/26/2024
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 68-3678 KOKEE PLACE
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City | WAIKOLA
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State | HI
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Zip | 96738
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Country | US
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Telephone | 808-371-8975
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Fax |
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Provider Business Mailing Address
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Address Line | 68-1845 WAIKOLOA RD # 106-121
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City | WAIKOLOA
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State | HI
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Zip | 96738-5584
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Country | US
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Telephone | 808-371-8975
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1011
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License Number State | HI
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