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General NPI Number Information
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NPI Number | 1922508381
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Entity Type | Organization
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Legal Business Name | RICHARD ROTHSCHILLER, PSY.D., LLC
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Dates
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Enumeration Date | 02/12/2018
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Last Update Date | 02/12/2018
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Provider Practice Location Address
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Address Line | 444 HOBRON LN
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City | HONOLULU
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State | HI
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Zip | 96815-1231
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Country | US
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Telephone | 808-277-9159
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Fax |
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Provider Business Mailing Address
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Address Line | 3820 MONTEREY DR
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City | HONOLULU
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State | HI
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Zip | 96816-3920
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Country | US
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Telephone | 808-277-9159
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD ROTHSCHILLER
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Credential | PHD
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Telephone | 808-277-9159
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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 | PSY1034
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License Number State | HI
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