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General NPI Number Information
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NPI Number | 1104788686
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Entity Type | Organization
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Legal Business Name | RENEWINGS LLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 25 KANEOHE BAY DR STE 203
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City | KAILUA
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State | HI
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Zip | 96734-1734
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Country | US
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Telephone | 509-629-2305
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Fax |
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Provider Business Mailing Address
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Address Line | 25 KANEOHE BAY DR STE 203
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City | KAILUA
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State | HI
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Zip | 96734-1734
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Country | US
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Telephone | 509-629-2305
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VANESSA SANDOVAL
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Credential |
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Telephone | 509-629-2305
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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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