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General NPI Number Information
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NPI Number | 1932625902
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Entity Type | Organization
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Legal Business Name | TALK IT OUT LLC
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 08/18/2020
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Provider Practice Location Address
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Address Line | 3422 UPPER STREET
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City | HONOLULU
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State | HI
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Zip | 96815-4337
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Country | US
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Telephone | 808-651-6278
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Fax | 808-356-0634
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Provider Business Mailing Address
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Address Line | 3422 UPPER STREET
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City | HONOLULU
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State | HI
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Zip | 96815-4337
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Country | US
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Telephone | 808-651-6278
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MIRIAM GOLDBERG
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Credential | LCSW, CAMS-II
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Telephone | 808-651-6278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4035
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License Number State | HI
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