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General NPI Number Information
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NPI Number | 1790157188
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Entity Type | Individual
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Provider Name | RICHARD I RIES PSYD
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Gender | Male
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Dates
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Enumeration Date | 10/23/2015
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Last Update Date | 10/23/2015
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Provider Practice Location Address
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Address Line | 2500 DOLE ST KRAUSS HALL 101 (UH CENTER FOR CBT)
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City | HONOLULU
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State | HI
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Zip | 96822-2349
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Country | US
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Telephone | 808-956-6496
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 DOLE ST KRAUSS HALL 101 (UH CENTER FOR CBT)
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City | HONOLULU
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State | HI
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Zip | 96822-2349
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Country | US
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Telephone | 808-956-6496
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1560
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 1560
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License Number State | HI
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