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General NPI Number Information
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NPI Number | 1053125088
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Entity Type | Organization
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Legal Business Name | HEALING HANDS OF HILO, LLC
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 198 PONAHAWAI ST
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City | HILO
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State | HI
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Zip | 96720-3027
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Country | US
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Telephone | 808-767-2541
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Fax |
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Provider Business Mailing Address
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Address Line | 120 APOKE ST
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City | HILO
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State | HI
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Zip | 96720-1647
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Country | US
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Telephone | 310-308-6292
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAREN C RENEE
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Credential | LMT
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Telephone | 310-308-6292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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