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General NPI Number Information
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NPI Number | 1871141903
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Entity Type | Individual
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Provider Name | BENJAMIN STOVALL CRAMER LCSW
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Gender | Male
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Dates
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Enumeration Date | 09/02/2019
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 99-080 KAUHALE ST STE C20
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City | AIEA
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State | HI
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Zip | 96701-4114
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Country | US
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Telephone | 808-953-4682
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Fax | 808-488-8535
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Provider Business Mailing Address
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Address Line | 98-513 KAMAHAO PL APT A
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City | PEARL CITY
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State | HI
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Zip | 96782-2425
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Country | US
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Telephone | 541-543-4410
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCSW5148
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | L11690
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L11690
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW5148
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License Number State | HI
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