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General NPI Number Information
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NPI Number | 1770360554
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Entity Type | Organization
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Legal Business Name | JESSICA C. HARPER
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Dates
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Enumeration Date | 09/13/2023
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 337 ULUNIU ST STE 201
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City | KAILUA
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State | HI
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Zip | 96734-2508
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Country | US
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Telephone | 808-546-0845
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 910
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City | KAILUA
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State | HI
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Zip | 96734-0910
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | JESSICA HARPER
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Credential |
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Telephone | 808-546-0845
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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 |
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License Number State |
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