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General NPI Number Information
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NPI Number | 1245392547
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Entity Type | Individual
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Provider Name | SUSAN M GRAFF MSPT
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Gender | Female
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 2148 AWAPUHI ST
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City | HILO
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State | HI
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Zip | 96720-5290
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Country | US
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Telephone | 808-365-8128
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Fax |
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Provider Business Mailing Address
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Address Line | HC 3 BOX 11089
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City | KEAAU
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State | HI
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Zip | 96749-9221
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Country | US
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Telephone | 818-421-9161
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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-4937
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 0100290
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License Number State | CA
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