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General NPI Number Information
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NPI Number | 1851608673
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Entity Type | Organization
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Legal Business Name | SIRIUS RESEARCH GROUP INC
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 09/01/2010
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Provider Practice Location Address
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Address Line | 14-803A SEAVIEW ROAD NANAWALE ESTATES
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City | PAHOA
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State | HI
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Zip | 96778-1341
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Country | US
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Telephone | 808-965-5349
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Fax | 808-965-5036
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Provider Business Mailing Address
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Address Line | PO BOX 1341
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City | PAHOA
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State | HI
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Zip | 96778-1341
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Country | US
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Telephone | 808-965-5349
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Fax | 808-965-5036
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. FRANK CAPATCH
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Credential | LCSW
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Telephone | 808-965-5349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3265
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3331
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License Number State | HI
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