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General NPI Number Information
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NPI Number | 1780860510
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Entity Type | Organization
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Legal Business Name | REAL WORLD RECOVERY
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Dates
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Enumeration Date | 01/10/2008
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 1314 S KING ST STE 1050
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City | HONOLULU
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State | HI
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Zip | 96814-1945
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Country | US
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Telephone | 808-783-8296
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Fax |
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Provider Business Mailing Address
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Address Line | 1314 S KING ST STE 1050
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City | HONOLULU
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State | HI
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Zip | 96814-1945
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Country | US
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Telephone | 808-783-8296
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. STEPHANIE TSAI
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Credential | CADC
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Telephone | 808-783-8296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 9280
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License Number State | HI
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