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General NPI Number Information
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NPI Number | 1811146871
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Entity Type | Organization
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Legal Business Name | MARRIAGE AND FAMILY THERAPEUTIC CENTER OF HAWAII, INC.
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Dates
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Enumeration Date | 09/15/2008
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 3660 WAIALAE AVE STE 208
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City | HONOLULU
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State | HI
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Zip | 96816-3258
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Country | US
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Telephone | 808-542-4131
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 26389
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City | HONOLULU
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State | HI
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Zip | 96825-6389
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Country | US
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Telephone | 808-542-4131
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Fax |
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Authorized Official
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Title or Position | OWNER, PROVIDER
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Name | ANNE-MARIE DAMIEN ROHR
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Credential | PSYD, LMFT
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Telephone | 808-542-4131
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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 | MFT-194
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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