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General NPI Number Information
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NPI Number | 1225283542
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Entity Type | Individual
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Provider Name | BRIANNE RAE CHILDS P.T., D.P.T.
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Gender | Female
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Dates
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Enumeration Date | 12/01/2008
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 1762 ALAHULA STREET #81
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City | KUALAPUU
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State | HI
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Zip | 96757-0081
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Country | US
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Telephone | 808-658-0801
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 81
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City | KUALAPUU
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State | HI
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Zip | 96757-0081
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Country | US
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Telephone | 808-658-0801
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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 | PT 2966
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License Number State | HI
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