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General NPI Number Information
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NPI Number | 1932851045
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Entity Type | Organization
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Legal Business Name | RICHARD I RIES, LLC
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Dates
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Enumeration Date | 01/20/2022
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 1188 BISHOP ST STE 3110
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City | HONOLULU
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State | HI
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Zip | 96813-3313
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Country | US
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Telephone | 808-295-3999
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Fax | 808-521-4466
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Provider Business Mailing Address
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Address Line | 1212 NUUANU AVE APT 1807
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City | HONOLULU
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State | HI
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Zip | 96817-4027
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Country | US
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Telephone | 808-295-3999
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Fax | 808-521-4466
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD RIES
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Credential | PSYD
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Telephone | 808-295-3999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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