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General NPI Number Information
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NPI Number | 1922947696
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Entity Type | Organization
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Legal Business Name | HAWAII WELLNESS CLINIC
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 1441 KAPIOLANI BLVD STE 1002
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City | HONOLULU
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State | HI
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Zip | 96814-4405
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Country | US
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Telephone | 808-201-2343
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 KAPIOLANI BLVD STE 1002
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City | HONOLULU
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State | HI
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Zip | 96814-4405
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Country | US
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Telephone | 808-201-2343
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Fax |
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Authorized Official
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Title or Position | HEAD OF BUSINESS DEVELOPMENT
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Name | PHILIP SCHLIEDER
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Credential |
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Telephone | 808-451-8763
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number |
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License Number State |
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