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General NPI Number Information
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NPI Number | 1902027022
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Entity Type | Individual
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Provider Name | BETTY SEU MING CHAO MFT
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 04/03/2017
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Provider Practice Location Address
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Address Line | 319 N. CANE ST
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City | WAHIAWA
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State | HI
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Zip | 96786
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Country | US
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Telephone | 808-286-2694
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 4005
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City | WAIANAE
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State | HI
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Zip | 96792
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Country | US
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Telephone | 808-286-2694
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MFC27078
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | MFC27078
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC27078
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT203
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License Number State | HI
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