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General NPI Number Information
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NPI Number | 1538114541
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Entity Type | Organization
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Legal Business Name | KATHLEEN OGINO PT LLC
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1744 LILIHA STREET SUITE 102
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City | HONOLULU
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State | HI
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Zip | 96817-3155
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Country | US
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Telephone | 808-599-0045
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Fax | 808-591-0004
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Provider Business Mailing Address
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Address Line | 92-1448 PALAHIA ST
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City | KAPOLEI
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State | HI
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Zip | 96707-3306
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Country | US
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Telephone | 808-599-0045
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Fax | 808-591-0004
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Authorized Official
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Title or Position | OWNER / PHYSICAL THERAPIST
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Name | KATHLEEN OGINO
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Credential | PT
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Telephone | 808-599-0045
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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 | PT784
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License Number State | HI
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