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General NPI Number Information
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NPI Number | 1336070960
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Entity Type | Individual
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Provider Name | VICTORIA ACOSTA
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Gender |
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Dates
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Enumeration Date | 05/25/2026
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Last Update Date | 05/25/2026
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Provider Practice Location Address
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Address Line | 95-221 KIPAPA DR
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City | MILILANI
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State | HI
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Zip | 96789-1147
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Country | US
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Telephone | 808-859-0585
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Fax |
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Provider Business Mailing Address
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Address Line | 1816 PALAMOI ST
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City | PEARL CITY
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State | HI
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Zip | 96782-1563
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Country | US
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Telephone | 808-865-0585
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MAT-18422
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License Number State | HI
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