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NPI 1598859126

NPI 1598859126 : PEGGY K HILL PT : KAILUA, HI

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General NPI Number Information
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    NPI Number           |    1598859126
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    Entity Type          |    Individual 
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    Provider Name        |    PEGGY K HILL PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/03/2006
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    354 ULUNIU STREET SUITE 404
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    City                 |    KAILUA
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    State                |    HI
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    Zip                  |    96734
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    Country              |    US
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    Telephone            |    808-262-1118
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    Fax                  |    808-262-0045
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Provider Business Mailing Address
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    Address Line         |    354 ULUNIU ST STE 404
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    City                 |    KAILUA
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    State                |    HI
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    Zip                  |    96734-2534
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    Country              |    US
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    Telephone            |    808-262-1118
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    Fax                  |    808-262-0045
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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       |    PT1959
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    License Number State |    HI
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