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General NPI Number Information
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NPI Number | 1205708377
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Entity Type | Organization
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Legal Business Name | BODY MIND AND SOUL SPA
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 31 S BERETANIA ST
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City | HONOLULU
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State | HI
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Zip | 96813-2220
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Country | US
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Telephone | 808-524-8588
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Fax | 720-836-6369
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Provider Business Mailing Address
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Address Line | 31 S BERETANIA ST
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City | HONOLULU
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State | HI
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Zip | 96813-2220
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Country | US
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Telephone | 808-524-8588
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Fax | 720-836-6369
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | JHEROLD PIZARRO
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Credential | LMT
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Telephone | 808-260-3731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #3
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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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