Basic Information
Provider Information
NPI: 1609287234
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DUKE
FirstName: UTE
MiddleName: ULRIKE NEUFELD
NamePrefix: MRS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2737 PACIFIC HEIGHTS RD
Address2: APT 3
City: HONOLULU
State: HI
PostalCode: 968131000
CountryCode: US
TelephoneNumber: 8087259693
FaxNumber:  
Practice Location
Address1: 615 PIIKOI ST
Address2:  
City: HONOLULU
State: HI
PostalCode: 968143116
CountryCode: US
TelephoneNumber: 8085891829
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/16/2014
LastUpdateDate: 05/16/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000X  Y Behavioral Health & Social Service ProvidersCounselor 

No ID Information.


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