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General NPI Number Information
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NPI Number | 1033738265
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Entity Type | Individual
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Provider Name | JAMIE SARDINHA
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Gender | Female
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 1317 ALA AOLANI ST
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City | HONOLULU
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State | HI
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Zip | 96819-1466
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Country | US
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Telephone | 808-741-2650
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Fax |
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Provider Business Mailing Address
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Address Line | 1317 ALA AOLANI ST
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City | HONOLULU
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State | HI
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Zip | 96819-1466
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Country | US
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Telephone | 808-392-8817
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Fax |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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