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General NPI Number Information
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NPI Number | 1174494322
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Entity Type | Individual
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Provider Name | MCKENNA JONES
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Gender | Female
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 285 W KAAHUMANU AVE STE 205
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City | KAHULUI
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State | HI
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Zip | 96732-1623
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Country | US
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Telephone | 808-877-4663
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Fax | 808-877-4662
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Provider Business Mailing Address
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Address Line | 411 HUKU LII PL STE 101
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City | KIHEI
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State | HI
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Zip | 96753-7062
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Country | US
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Telephone | 808-879-0077
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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 | 6233
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License Number State | HI
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