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General NPI Number Information
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NPI Number | 1386883437
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Entity Type | Individual
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Provider Name | MARGARET IRENE BLASER D.O.M.,L.AC., L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 02/12/2009
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 415 ULUNIU ST STE A
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City | KAILUA
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State | HI
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Zip | 96734-2503
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Country | US
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Telephone | 808-292-3786
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Fax | 866-231-7078
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Provider Business Mailing Address
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Address Line | 415 ULUNIU ST. SUITE A
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City | KAILUA
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State | HI
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Zip | 96734-3865
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Country | US
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Telephone | 808-292-3786
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Fax | 866-231-7078
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ACU 890
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License Number State | HI
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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 | MAT8771
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 2049544701
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License Number State | UT
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