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General NPI Number Information
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NPI Number | 1306911888
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Entity Type | Organization
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Legal Business Name | SPORTSMEDICINE HAWAII LTD
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 10/30/2007
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Provider Practice Location Address
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Address Line | 800 S BERETANIA ST STE 100
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City | HONOLULU
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State | HI
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Zip | 96813-5702
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Country | US
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Telephone | 808-533-4545
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Fax | 808-533-1656
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Provider Business Mailing Address
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Address Line | PO BOX 1300
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City | HONOLULU
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State | HI
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Zip | 96807-1300
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Country | US
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Telephone | 808-533-4545
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Fax | 808-533-1656
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PATRICK ARIKI
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Credential | PHYSICAL THERAPIST
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Telephone | 808-533-4545
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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 |
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License Number State |
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