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General NPI Number Information
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NPI Number | 1033879515
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Entity Type | Organization
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Legal Business Name | HARAGUCHI PHYSICAL THERAPY & ORTHOPEDICS LLC
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Dates
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Enumeration Date | 12/23/2021
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Last Update Date | 12/23/2021
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Provider Practice Location Address
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Address Line | 2555 ALA NAMAHANA PKWY STE G1
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City | KILAUEA
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State | HI
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Zip | 96754-5395
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Country | US
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Telephone | 808-639-5130
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 439
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City | ANAHOLA
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State | HI
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Zip | 96703-0439
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Country | US
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Telephone | 808-639-5130
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY, CEO
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Name | DR. EMELIA LOREN HARAGUCHI
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Credential | PT, DPT, OCS
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Telephone | 808-639-5130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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