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General NPI Number Information
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NPI Number | 1275622847
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Entity Type | Organization
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Legal Business Name | OREGAN REHABILITATION SERVICES, PC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 01/16/2014
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Provider Practice Location Address
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Address Line | 530 KAHA ST
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City | KAILUA
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State | HI
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Zip | 96734-2009
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Country | US
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Telephone | 808-349-4432
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Fax | 808-744-5024
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Provider Business Mailing Address
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Address Line | 530 KAHA ST
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City | KAILUA
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State | HI
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Zip | 96734-2009
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Country | US
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Telephone | 808-349-4432
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Fax | 808-744-5024
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Authorized Official
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Title or Position | OWNER
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Name | DR. LISA KAY OREGAN
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Credential | DPT
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Telephone | 808-349-4432
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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 | 2625
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License Number State | HI
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