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General NPI Number Information
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NPI Number | 1598541450
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Entity Type | Individual
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Provider Name | MATTHEW B K ISHII PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 09/06/2023
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 99-128 AIEA HEIGHTS DRIVE #207
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City | AIEA
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State | HI
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Zip | 96701-3968
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Country | US
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Telephone | 808-487-0487
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Fax | 808-486-8674
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Provider Business Mailing Address
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Address Line | 629 HAO STREET
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City | HONOLULU
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State | HI
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Zip | 96821-1617
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Country | US
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Telephone | 808-428-9168
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PT6140
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License Number State | HI
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