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General NPI Number Information
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NPI Number | 1336099597
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Entity Type | Individual
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Provider Name | MARI KIMIYE YAMAGUCHI LMT
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Gender | Female
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 74-5620A PALANI RD STE 102
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City | KAILUA KONA
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State | HI
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Zip | 96740-3114
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Country | US
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Telephone | 808-333-4264
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Fax |
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Provider Business Mailing Address
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Address Line | 76-385 KEALOHA ST
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City | KAILUA KONA
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State | HI
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Zip | 96740-2916
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Country | US
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Telephone | 808-333-4264
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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-18220
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License Number State | HI
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