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General NPI Number Information
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NPI Number | 1104594266
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Entity Type | Individual
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Provider Name | BRYSON CALMA OTD, OTR/L
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Gender | Male
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Dates
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Enumeration Date | 09/02/2021
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 1401 S BERETANIA ST STE 730
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City | HONOLULU
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State | HI
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Zip | 96814-1881
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Country | US
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Telephone | 808-593-2830
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Fax | 808-593-2840
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Provider Business Mailing Address
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Address Line | 1401 S BERETANIA ST STE 730
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City | HONOLULU
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State | HI
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Zip | 96814-1881
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Country | US
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Telephone |
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State |
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