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General NPI Number Information
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NPI Number | 1972016699
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Entity Type | Individual
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Provider Name | TAMARA LAWRENCE
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Gender | Female
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Dates
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Enumeration Date | 11/16/2017
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 3-2600 KAUMUALII HWY STE 1616
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City | LIHUE
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State | HI
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Zip | 96766-2024
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Country | US
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Telephone | 808-635-4361
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Fax |
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Provider Business Mailing Address
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Address Line | 2959 UMI ST STE 300
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City | LIHUE
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State | HI
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Zip | 96766-1806
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Country | US
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Telephone |
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Fax | 877-376-3335
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MHC-1144
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License Number State | HI
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