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General NPI Number Information
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NPI Number | 1871803437
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Entity Type | Organization
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Legal Business Name | OPAKA, LLC
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Dates
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Enumeration Date | 10/18/2010
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Last Update Date | 10/18/2010
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Provider Practice Location Address
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Address Line | 1130 N. NIMITZ HWY, SUITE A259
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City | HONLULU
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State | HI
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Zip | 96817
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Country | US
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Telephone | 808-754-0091
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 6611
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City | KANEOHE
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State | HI
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Zip | 96744-9178
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Country | US
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Telephone | 808-239-4114
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Fax | 808-239-4114
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Authorized Official
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Title or Position | MEMBER
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Name | DR. ANN YABUSAKI
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Credential | PH.D., MFT
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Telephone | 808-239-4114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT-87
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License Number State | HI
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