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General NPI Number Information
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NPI Number | 1316755705
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Entity Type | Individual
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Provider Name | JAMES S NAKADA COTA/L
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Gender | Male
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 1357 KAPIOLANI BLVD STE 800
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City | HONOLULU
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State | HI
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Zip | 96814-4536
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Country | US
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Telephone | 808-523-9043
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Fax |
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Provider Business Mailing Address
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Address Line | 1507 POHAKU ST
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City | HONOLULU
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State | HI
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Zip | 96817-2832
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Country | US
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Telephone | 808-944-2994
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA-57
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License Number State | HI
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