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General NPI Number Information
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NPI Number | 1265577381
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Entity Type | Individual
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Provider Name | LYNN CHIEMI TAKAMIYA SIALANA OTR
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Gender | Female
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4603 ALIIKOA ST
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City | HONOLULU
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State | HI
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Zip | 96821-1118
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Country | US
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Telephone | 808-732-4288
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Fax |
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Provider Business Mailing Address
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Address Line | 91-1025 KAIIKUWA ST
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City | EWA BEACH
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State | HI
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Zip | 96706-5057
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Country | US
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Telephone | 808-689-1465
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 97
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License Number State | HI
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