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General NPI Number Information
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NPI Number | 1639001480
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Entity Type | Individual
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Provider Name | KIERA KATHLEEN DOHERTY-HERWITZ
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Gender | Female
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 2580 KEKAA DR STE 111
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City | LAHAINA
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State | HI
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Zip | 96761-2908
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Country | US
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Telephone | 808-667-6161
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Fax |
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Provider Business Mailing Address
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Address Line | 27 CAESAR JONES WAY
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City | BEDFORD
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State | MA
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Zip | 01730-2064
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Country | US
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Telephone | 781-325-6199
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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 | PT-6425-0
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License Number State | HI
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