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General NPI Number Information
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NPI Number | 1902687809
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Entity Type | Organization
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Legal Business Name | CONSCIOUS COUNSELING LLC
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 7 AEWA PL STE 7
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City | MAKAWAO
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State | HI
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Zip | 96768-8882
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Country | US
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Telephone | 808-250-4296
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Fax |
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Provider Business Mailing Address
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Address Line | 254 KAIOLA PL # 102
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City | KIHEI
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State | HI
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Zip | 96753-8970
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Country | US
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Telephone | 808-250-4296
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | NICOLE M EDWARDS
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Credential |
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Telephone | 808-250-4296
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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 |
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License Number State |
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