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General NPI Number Information
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NPI Number | 1043497100
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Entity Type | Individual
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Provider Name | JAIME NORIKO KUAMO'O PT
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Gender | Female
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 05/06/2014
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Provider Practice Location Address
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Address Line | 3660 WAIALAE AVE SUITE 205
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City | HONOLULU
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State | HI
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Zip | 96816-3257
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Country | US
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Telephone | 808-732-2500
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Fax | 808-732-2501
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Provider Business Mailing Address
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Address Line | 1070 AWAWAMALU ST APT C
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City | HONOLULU
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State | HI
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Zip | 96825-2615
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Country | US
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Telephone | 808-729-4419
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 29396
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3015
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License Number State | HI
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