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General NPI Number Information
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NPI Number | 1346372489
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Entity Type | Individual
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Provider Name | JADINE L. BROWN MPT
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 10/29/2007
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Provider Practice Location Address
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Address Line | 99 S MARKET ST STE. 104
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City | WAILUKU
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State | HI
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Zip | 96793-2200
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Country | US
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Telephone | 808-244-3440
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Fax | 808-244-3411
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Provider Business Mailing Address
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Address Line | 239 UPPER KIMO DR
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City | KULA
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State | HI
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Zip | 96790-8052
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Country | US
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Telephone | 808-344-1740
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Fax | 808-244-3411
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2028
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License Number State | HI
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