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General NPI Number Information
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NPI Number | 1891457057
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Entity Type | Individual
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Provider Name | CLAIR CHRISTINE DOCTOR LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/06/2021
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Last Update Date | 10/06/2021
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Provider Practice Location Address
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Address Line | 46-005 KAWA ST STE 308
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City | KANEOHE
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State | HI
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Zip | 96744-3838
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Country | US
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Telephone | 808-381-1052
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Fax | 808-215-4545
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Provider Business Mailing Address
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Address Line | PO BOX 474
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City | PEARL CITY
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State | HI
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Zip | 96782-0474
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Country | US
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Telephone | 808-381-1052
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Fax | 808-215-4545
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-4654
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License Number State | HI
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