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NPI 1033794946

NPI 1033794946 : KRISTINE FELIX OTR/L : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1033794946
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    Entity Type          |    Individual 
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    Provider Name        |    KRISTINE FELIX OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/11/2021
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    Last Update Date     |    03/11/2021
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Provider Practice Location Address
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    Address Line         |    2810 PAA ST STE 2 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96819-4429
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    Country              |    US
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    Telephone            |    808-836-4847
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    509 UNIVERSITY AVE APT 703 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96826-5008
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    Country              |    US
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    Telephone            |    808-344-0457
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    OT-2074-0
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    License Number State |    HI
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