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NPI 1689241093

NPI 1689241093 : CARLY ARBEIT DPT : KAILUA, HI

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General NPI Number Information
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    NPI Number           |    1689241093
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    Entity Type          |    Individual 
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    Provider Name        |    CARLY ARBEIT DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/06/2021
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    Last Update Date     |    06/06/2021
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Provider Practice Location Address
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    Address Line         |    201 HAMAKUA DR STE C102 
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    City                 |    KAILUA
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    State                |    HI
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    Zip                  |    96734-3984
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    Country              |    US
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    Telephone            |    808-597-1005
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    452A KALAMA ST 
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    City                 |    KAILUA
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    State                |    HI
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    Zip                  |    96734-7010
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    Country              |    US
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    Telephone            |    631-626-5343
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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       |    046981
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    License Number State |    NY
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