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General NPI Number Information
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NPI Number | 1861562803
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Entity Type | Organization
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Legal Business Name | SOLUTIONS FOR CHANGE LLC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 08/12/2011
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Provider Practice Location Address
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Address Line | 1379B MOANALUALANI PL.
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City | HONOLULU
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State | HI
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Zip | 96819
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Country | US
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Telephone | 808-779-2326
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Fax | 808-779-2326
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Provider Business Mailing Address
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Address Line | 1379B MOANALUALANI PL.
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City | HONOLULU
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State | HI
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Zip | 96819
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Country | US
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Telephone | 808-779-2326
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Fax | 808-836-3082
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Authorized Official
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Title or Position | MEMBER OWNER
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Name | ANNE M FRAUENS
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Credential | CSW
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Telephone | 808-779-2326
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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 | LCSW-3169
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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 | LCSW-3018
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License Number State | HI
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