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General NPI Number Information
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NPI Number | 1780190843
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Entity Type | Individual
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Provider Name | JONATHAN AHUNA
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Gender | Male
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Dates
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Enumeration Date | 12/27/2017
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 701 W PRATT ST FL 4
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City | BALTIMORE
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State | MD
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Zip | 21201-1023
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Country | US
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Telephone | 410-328-6018
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Fax |
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Provider Business Mailing Address
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Address Line | 340 HOLOKAI PL
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City | HONOLULU
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State | HI
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Zip | 96825-2888
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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 |
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 17-40501
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License Number State | HI
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