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General NPI Number Information
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NPI Number | 1154045276
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Entity Type | Individual
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Provider Name | CODY ISAIAH ARADANAS LIM PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 600 KAPIOLANI BLVD STE 409
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City | HONOLULU
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State | HI
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Zip | 96813-5141
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Country | US
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Telephone | 808-525-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 94-1062 KAHIMOE PL
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City | WAIPAHU
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State | HI
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Zip | 96797-4247
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Country | US
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Telephone | 808-232-8549
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5362
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License Number State | HI
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