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General NPI Number Information
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NPI Number | 1922812650
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Entity Type | Organization
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Legal Business Name | ADHD WELLNESS CLINIC
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 1000 AUAHI STREET #3711
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City | HONOLULU
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State | HI
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Zip | 96813
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Country | US
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Telephone | 619-613-2791
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Fax | 619-415-8415
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Provider Business Mailing Address
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Address Line | 500 ALA MOANA BLVD STE 7400
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City | HONOLULU
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State | HI
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Zip | 96813-4902
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Country | US
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Telephone | 808-563-4128
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Fax | 619-415-8415
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL THOMAS MATTOX
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Credential | PMHNP-BC
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Telephone | 626-848-6670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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