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General NPI Number Information
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NPI Number | 1417579343
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Entity Type | Organization
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Legal Business Name | BIG ISLAND MASSAGE NETWORK LLC
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Dates
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Enumeration Date | 05/14/2020
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 12-7002 HOKUAO ST # 4693
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City | PAHOA
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State | HI
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Zip | 96778-7892
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Country | US
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Telephone | 808-965-9787
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Fax | 844-781-8303
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Provider Business Mailing Address
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Address Line | 12-7004 HOKUAO ST # 50
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City | PAHOA
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State | HI
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Zip | 96778-7892
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Country | US
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Telephone | 808-557-8807
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Fax | 844-781-8303
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Authorized Official
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Title or Position | OWNER
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Name | JACOB TUFT
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Credential |
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Telephone | 808-557-8807
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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 |
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License Number State |
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