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General NPI Number Information
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NPI Number | 1659082675
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Entity Type | Individual
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Provider Name | CHRISTOPHER PAUL GILES
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Gender | Male
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Dates
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Enumeration Date | 12/09/2022
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Last Update Date | 12/16/2022
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Provider Practice Location Address
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Address Line | 66-590 KAMEHAMEHA HWY STE 1B
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City | HALEIWA
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State | HI
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Zip | 96712-1484
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Country | US
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Telephone | 808-291-2542
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Fax | 808-491-0999
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Provider Business Mailing Address
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Address Line | 59-084 PUKEA RD
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City | HALEIWA
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State | HI
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Zip | 96712-9647
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Country | US
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Telephone | 808-348-4490
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Fax | 808-491-0999
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MAT-13136
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License Number State | HI
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