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General NPI Number Information
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NPI Number | 1497031165
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Entity Type | Organization
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Legal Business Name | ON THE MOVE THERAPY LLC
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Dates
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Enumeration Date | 10/26/2011
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Last Update Date | 11/10/2014
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Provider Practice Location Address
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Address Line | 1425 ALA KOPIKO ST
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City | HONOLULU
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State | HI
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Zip | 96818-1509
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Country | US
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Telephone | 808-599-0215
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Fax | 866-311-6249
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Provider Business Mailing Address
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Address Line | 1425 ALA KOPIKO ST
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City | HONOLULU
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State | HI
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Zip | 96818-1509
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Country | US
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Telephone | 808-599-0215
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Fax | 866-311-6249
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Authorized Official
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Title or Position | OWNER
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Name | MR. REYN KURIHARA
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Credential | DPT
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Telephone | 808-599-0215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT-2352
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License Number State | HI
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