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General NPI Number Information
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NPI Number | 1245600600
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Entity Type | Individual
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Provider Name | WENDY K.T. KONDO
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Gender | Female
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Dates
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Enumeration Date | 09/29/2015
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Last Update Date | 09/29/2015
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Provider Practice Location Address
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Address Line | 2226 LILIHA STREET SUITE 227
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City | HONOLULU
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State | HI
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Zip | 96817
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Country | US
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Telephone | 808-547-6500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 29700
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City | HONOLULU
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State | HI
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Zip | 96820-2100
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Country | US
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Telephone | 808-547-6500
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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 | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | OT-7
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 225XR0403X
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Taxonomy Name | Driving and Community Mobility Occupational Therapist
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License Number | OT-7
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License Number State | HI
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