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NPI 1023822004

NPI 1023822004 : ERGONOMIC EDUCATORS LLC : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1023822004
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    Entity Type          |    Organization 
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    Legal Business Name  |    ERGONOMIC EDUCATORS LLC 
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Dates
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    Enumeration Date     |    02/01/2025
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    Last Update Date     |    02/01/2025
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Provider Practice Location Address
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    Address Line         |    5180 LIKINI ST APT 1804 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96818-3037
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    Country              |    US
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    Telephone            |    808-629-9982
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5180 LIKINI ST APT 1804 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96818-3037
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CREDENTIALING SPECILIST
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    Name                 |     MUHAMMAD  ALI 
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    Credential           |    
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    Telephone            |    201-855-3011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225XP0019X
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    Taxonomy Name        |    Physical Rehabilitation Occupational Therapist
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    License Number       |    
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    License Number State |    
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