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NPI 1831848845

NPI 1831848845 : ANNE HALL MS LLC : PRINCEVILLE, HI

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General NPI Number Information
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    NPI Number           |    1831848845
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANNE HALL MS LLC 
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Dates
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    Enumeration Date     |    03/18/2022
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    Last Update Date     |    03/18/2022
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Provider Practice Location Address
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    Address Line         |    5-4280 KUHIO HWY STE G-210B 
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    City                 |    PRINCEVILLE
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    State                |    HI
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    Zip                  |    96722-5451
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    Country              |    US
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    Telephone            |    805-253-3435
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 223554 
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    City                 |    PRINCEVILLE
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    State                |    HI
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    Zip                  |    96722-3554
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    Country              |    US
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    Telephone            |    805-253-3435
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/ THERAPIST
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    Name                 |     ANNE LOUISE HALL 
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    Credential           |    LMFT
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    Telephone            |    805-253-3435
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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       |    
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    License Number State |    
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