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General NPI Number Information
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NPI Number | 1356853030
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Entity Type | Individual
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Provider Name | LORA M FINELLI MT
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Gender | Female
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Dates
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Enumeration Date | 11/02/2017
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Last Update Date | 11/02/2017
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Provider Practice Location Address
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Address Line | 68-1845 WAIKOLOA RD STE 201
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City | WAIKOLOA
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State | HI
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Zip | 96738-5581
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Country | US
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Telephone | 808-987-6153
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 385557
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City | WAIKOLOA
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State | HI
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Zip | 96738-0557
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Country | US
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Telephone |
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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 | 32158848
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 15401
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License Number State | HI
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