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General NPI Number Information
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NPI Number | 1134452519
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Entity Type | Individual
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Provider Name | DANA LYNN FONG-REYES DPT, CSCS, TPI CGFI
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Gender | Female
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 12/14/2025
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Provider Practice Location Address
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Address Line | 599 FARRINGTON HWY SUITE 102
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City | KAPOLEI
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State | HI
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Zip | 96707-2028
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Country | US
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Telephone | 808-674-1142
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Fax | 808-674-1143
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Provider Business Mailing Address
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Address Line | 599 FARRINGTON HWY SUITE 102
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City | KAPOLEI
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State | HI
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Zip | 96707-2028
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Country | US
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Telephone | 808-674-1142
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Fax | 808-674-1143
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT-3123
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License Number State | HI
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