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General NPI Number Information
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NPI Number | 1609299080
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Entity Type | Individual
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Provider Name | RANI ANN HANOHANO LMT
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Gender | Female
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Dates
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Enumeration Date | 01/21/2014
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Last Update Date | 01/21/2014
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Provider Practice Location Address
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Address Line | 126 QUEEN ST
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City | HONOLULU
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State | HI
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Zip | 96813-4409
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Country | US
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Telephone | 808-221-2194
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Fax |
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Provider Business Mailing Address
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Address Line | 89-788 ILIMAPAPA PL
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City | WAIANAE
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State | HI
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Zip | 96792-3901
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Country | US
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Telephone | 808-221-2194
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MAT 13429
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License Number State | HI
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