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General NPI Number Information
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NPI Number | 1841523537
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Entity Type | Individual
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Provider Name | ELAINE LIGAYA GIERLACH AMOY PHD
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Gender | Female
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Dates
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Enumeration Date | 09/11/2009
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Last Update Date | 12/11/2014
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Provider Practice Location Address
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Address Line | 354 ULUNIU ST STE 309
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City | KAILUA
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State | HI
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Zip | 96734-2544
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Country | US
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Telephone | 808-783-3710
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Fax |
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Provider Business Mailing Address
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Address Line | 46-318 HAIKU RD APT 37
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City | KANEOHE
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State | HI
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Zip | 96744-3590
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Country | US
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Telephone | 808-783-3710
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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