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General NPI Number Information
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NPI Number | 1932925021
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Entity Type | Organization
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Legal Business Name | MAUI MARRIAGE AND FAMILY THERAPY
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Dates
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Enumeration Date | 11/23/2024
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 535 LIPOA PKWY
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City | KIHEI
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State | HI
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Zip | 96753-6907
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Country | US
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Telephone | 210-236-0670
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Fax |
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Provider Business Mailing Address
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Address Line | 15 WAIHILI PL
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City | KIHEI
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State | HI
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Zip | 96753-8290
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Country | US
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Telephone | 210-236-0670
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CHRISTOPHER HAAS
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Credential | LMFT
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Telephone | 808-463-9954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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