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General NPI Number Information
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NPI Number | 1790813731
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Entity Type | Individual
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Provider Name | WILLIAM RICKARDS M.A., LMFT
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Gender | Male
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 65-1206 MAMALAHOA HWY BLDG. 2, OFFICE 2
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City | KAMUELA
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State | HI
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Zip | 96743-7303
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Country | US
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Telephone | 808-990-3875
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1493
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City | KAMUELA
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State | HI
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Zip | 96743-1493
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 151
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License Number State | HI
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