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General NPI Number Information
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NPI Number | 1942236369
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Entity Type | Organization
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Legal Business Name | HONOLULU FAMILY THERAPY CENTRE INC.
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1017C PAWAA LN
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City | HONOLULU
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State | HI
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Zip | 96826-2142
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Country | US
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Telephone | 808-941-5869
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Fax | 808-941-2987
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Provider Business Mailing Address
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Address Line | 1017C PAWAA LN
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City | HONOLULU
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State | HI
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Zip | 96826-2142
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Country | US
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Telephone | 808-941-5869
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Fax | 808-941-2987
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CAROL PM TYLER
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Credential | PSY.D.
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Telephone | 808-941-5869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY-783
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License Number State | HI
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