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General NPI Number Information
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NPI Number | 1225755366
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Entity Type | Individual
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Provider Name | LORI JARNESKY LETOTO RBT
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Gender | Female
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Dates
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Enumeration Date | 10/19/2022
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 475 22ND AVE RM 127
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City | HONOLULU
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State | HI
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Zip | 96816-4400
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Country | US
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Telephone | 808-305-9787
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Fax |
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Provider Business Mailing Address
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Address Line | 336 LANIUMA PL
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City | WAILUKU
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State | HI
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Zip | 96793-4185
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Country | US
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Telephone | 808-542-3228
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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