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General NPI Number Information
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NPI Number | 1215247838
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Entity Type | Individual
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Provider Name | LANI DAWN THUR-FINE LMT
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Gender | Female
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Dates
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Enumeration Date | 10/15/2010
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 12 KIOPAA PL STE 201
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City | MAKAWAO
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State | HI
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Zip | 96768-8291
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Country | US
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Telephone | 808-575-5483
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 81535
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City | HAIKU
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State | HI
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Zip | 96708-1535
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Country | US
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Telephone | 808-557-5882
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MAT-12977
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License Number State | HI
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