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General NPI Number Information
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NPI Number | 1922409986
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Entity Type | Organization
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Legal Business Name | SOMPHONE SCHWARZER LLC
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 07/14/2015
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Provider Practice Location Address
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Address Line | 1122A 2ND AVE
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City | HONOLULU
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State | HI
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Zip | 96816-5846
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Country | US
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Telephone | 808-772-1182
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Fax |
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Provider Business Mailing Address
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Address Line | 1122A 2ND AVE
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City | HONOLULU
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State | HI
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Zip | 96816-5846
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. SOMPHONE SCHWARZER
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Credential | PSY.D.
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Telephone | 808-772-1182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PSY1208
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License Number State | HI
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