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General NPI Number Information
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NPI Number | 1831806371
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Entity Type | Individual
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Provider Name | LYNETTE YEOW MHC
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Gender | Female
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Dates
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Enumeration Date | 11/03/2022
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Last Update Date | 11/14/2022
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Provider Practice Location Address
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Address Line | 94-1221 KA UKA BLVD STE B202
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City | WAIPAHU
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State | HI
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Zip | 96797-6202
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Country | US
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Telephone | 808-375-7712
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Fax | 808-671-0222
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Provider Business Mailing Address
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Address Line | 94-1221 KA UKA BLVD. SUITE 108 PMB 308
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City | WAIPAHU
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State | HI
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Zip | 96797
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Country | US
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Telephone | 808-375-7712
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Fax | 808-671-0222
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 871
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License Number State | HI
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