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General NPI Number Information
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NPI Number | 1427501485
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Entity Type | Organization
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Legal Business Name | OPTIMAL BIOMECHANICS LLC
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Dates
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Enumeration Date | 07/26/2016
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Last Update Date | 07/26/2016
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Provider Practice Location Address
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Address Line | 550 HANANA PL
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City | HONOLULU
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State | HI
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Zip | 96817-1634
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Country | US
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Telephone | 808-721-5371
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Fax |
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Provider Business Mailing Address
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Address Line | 550 HANANA PL
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City | HONOLULU
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State | HI
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Zip | 96817-1634
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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 | OWNER
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Name | DAVID Y LUI
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Credential | DPT
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Telephone | 808-721-5371
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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 | 3741
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License Number State | HI
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