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General NPI Number Information
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NPI Number | 1548502651
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Entity Type | Organization
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Legal Business Name | MAUI NATURAL MEDICINE & PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 03/27/2013
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Provider Practice Location Address
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Address Line | 1325 S KIHEI ROAD STE 102C
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City | KIHEI
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State | HI
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Zip | 96753-8145
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Country | US
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Telephone | 808-891-1111
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Fax | 808-442-9938
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Provider Business Mailing Address
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Address Line | 1215 S KIHEI RD STE O BOX 707
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City | KIHEI
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State | HI
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Zip | 96753-5220
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Country | US
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Telephone | 808-891-1111
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Fax | 808-442-9938
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Authorized Official
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Title or Position | MEMBER MANAGER
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Name | DR. KAREN MARIA FRANGOS
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Credential | N.D. & P. T.
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Telephone | 808-891-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 3218
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License Number State | HI
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