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General NPI Number Information
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NPI Number | 1891994521
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Entity Type | Individual
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Provider Name | DANIELA GRANZOTTO PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 10/01/2018
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Provider Practice Location Address
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Address Line | 94-479 UKEE ST
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City | WAIPAHU
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State | HI
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Zip | 96797-4212
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Country | US
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Telephone | 808-265-5791
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Fax | 808-791-4123
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Provider Business Mailing Address
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Address Line | 95-1191 LEOLANI ST
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City | MILILANI
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State | HI
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Zip | 96789-3608
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Country | US
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Telephone | 808-265-5791
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Fax | 808-791-4123
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY1005
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License Number State | HI
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