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General NPI Number Information
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NPI Number | 1861544025
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Entity Type | Individual
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Provider Name | MARIA BRIONES PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 3176 POIPU RD STE 5
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City | KOLOA
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State | HI
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Zip | 96756-9521
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Country | US
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Telephone | 808-742-6446
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Fax |
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Provider Business Mailing Address
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Address Line | 5473 PUULIMA RD # C
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City | KALAHEO
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State | HI
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Zip | 96741-9301
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Country | US
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Telephone | 808-742-6446
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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 | PSY-673
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License Number State | HI
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