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General NPI Number Information
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NPI Number | 1992961106
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Entity Type | Organization
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Legal Business Name | CLARE M. RONTREE, PH.D., LLC
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Dates
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Enumeration Date | 08/06/2008
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 1221 KAPIOLANI BLVD #348
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City | HONOLULU
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State | HI
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Zip | 96814-3503
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Country | US
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Telephone | 808-489-5919
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 VICTORIA ST #701
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City | HONOLULU
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State | HI
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Zip | 96822-3686
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Country | US
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Telephone | 808-489-5919
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CLARE MARGUERITE ROUNTREE
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Credential | PH.D.
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Telephone | 808-489-5919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 1001
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License Number State | HI
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