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General NPI Number Information
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NPI Number | 1144705286
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Entity Type | Organization
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Legal Business Name | OHANA THERAPY CLINIC
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Dates
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Enumeration Date | 09/25/2018
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Last Update Date | 12/16/2022
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Provider Practice Location Address
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Address Line | 1422 STARLIGHT DRIVE
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City | CANTONMENT
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State | FL
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Zip | 32533-7782
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Country | US
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Telephone | 808-457-1000
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Fax | 855-424-3031
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Provider Business Mailing Address
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Address Line | 1422 STARLIGHT DRIVE
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City | CANTONMENT
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State | FL
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Zip | 32533-7782
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Country | US
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Telephone | 850-525-3487
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Fax | 855-424-3031
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | HANNAH ELIZABETH MILNE
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Credential | MS-CCC/SLP
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Telephone | 808-457-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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