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General NPI Number Information
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NPI Number | 1801662945
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Entity Type | Organization
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Legal Business Name | TREE OF LIFE MENTAL HEALTH, LLC
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Dates
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Enumeration Date | 11/29/2023
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 1429 MAKIKI ST STE 2202
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City | HONOLULU
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State | HI
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Zip | 96814-1381
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Country | US
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Telephone | 808-233-9971
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Fax |
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Provider Business Mailing Address
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Address Line | 1671 MAHANI LOOP
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City | HONOLULU
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State | HI
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Zip | 96819-2831
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Country | US
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Telephone | 808-233-9971
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | DANA MONDAY
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Credential | APRN
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Telephone | 808-233-9971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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