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General NPI Number Information
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NPI Number | 1548182389
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Entity Type | Organization
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Legal Business Name | THAI HEALING MASSAGE LLC
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Dates
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Enumeration Date | 07/25/2026
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Last Update Date | 07/25/2026
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Provider Practice Location Address
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Address Line | 91-3525 KAULUAKOKO ST UNIT 2008
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City | EWA BEACH
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State | HI
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Zip | 96706-6874
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Country | US
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Telephone | 808-724-9962
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Fax |
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Provider Business Mailing Address
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Address Line | 91-053 PARISH DR
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City | EWA BEACH
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State | HI
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Zip | 96706-2513
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Country | US
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Telephone | 808-225-8299
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PHAKHANUN SRINUAN LEE
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Credential |
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Telephone | 808-724-9962
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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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