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NPI 1912355017

NPI 1912355017 : MARYMAY V. HARDY LMHC : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1912355017
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    Entity Type          |    Individual 
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    Provider Name        |    MARYMAY V. HARDY LMHC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/30/2016
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    Last Update Date     |    07/06/2024
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Provider Practice Location Address
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    Address Line         |    200 N VINEYARD BLVD 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96817-3950
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    Country              |    US
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    Telephone            |    808-796-6322
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    200 N VINEYARD BLVD STE. A325 #5464
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96817
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    Country              |    US
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    Telephone            |    808-796-6322
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    MHC - 391
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    License Number State |    HI
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