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General NPI Number Information
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NPI Number | 1700320421
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Entity Type | Organization
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Legal Business Name | ISLAND NEURO-REHABILITATION ASSOCIATES
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Dates
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Enumeration Date | 12/14/2016
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Last Update Date | 03/17/2017
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Provider Practice Location Address
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Address Line | 2228 LILIHA ST STE 405
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City | HONOLULU
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State | HI
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Zip | 96817-1650
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Country | US
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Telephone | 808-352-6046
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Fax |
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Provider Business Mailing Address
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Address Line | 7192 KALANIANAOLE HWY STE A143A-162
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City | HONOLULU
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State | HI
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Zip | 96825-1800
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MR. DOUGLAS WEISS
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Credential | DPT
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Telephone | 808-352-6046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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