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General NPI Number Information
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NPI Number | 1700059235
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Entity Type | Organization
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Legal Business Name | THE ALA MOANA MASSAGE SPECIALISTS, INC.
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 04/04/2008
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Provider Practice Location Address
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Address Line | 1750 KALAKAUA AVE ST. 512
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City | HONOLULU
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State | HI
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Zip | 96826-3766
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Country | US
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Telephone | 808-941-8101
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Fax | 808-941-6101
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Provider Business Mailing Address
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Address Line | 1750 KALAKAUA AVE ST. 512
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City | HONOLULU
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State | HI
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Zip | 96826-3766
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Country | US
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Telephone | 808-941-8101
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Fax | 808-941-6101
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. BARBORA SUCHA LOCQUIAO
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Credential | LMT
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Telephone | 808-941-8101
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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 | MAE 884, 933
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License Number State | HI
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