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General NPI Number Information
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NPI Number | 1093088148
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Entity Type | Organization
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Legal Business Name | HO'OHELE PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 02/21/2012
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Last Update Date | 05/24/2012
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Provider Practice Location Address
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Address Line | 1451 S. KING ST. SUITE 508
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City | HONOLULU
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State | HI
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Zip | 96814
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Country | US
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Telephone | 808-386-4989
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 22134
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City | HONOLULU
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State | HI
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Zip | 96823-2134
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Country | US
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Telephone | 808-386-4989
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MICHELLE FISHER GARCIA
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Credential | MSPT
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Telephone | 808-386-4989
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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 | PT-1342
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License Number State | HI
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