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General NPI Number Information
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NPI Number | 1730473059
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Entity Type | Organization
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Legal Business Name | REHABPRN SERVICES, INC
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Dates
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Enumeration Date | 06/03/2011
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Last Update Date | 06/03/2011
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Provider Practice Location Address
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Address Line | 1714 ANAPUNI ST #301
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City | HONOLULU
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State | HI
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Zip | 96822-4482
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Country | US
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Telephone | 808-348-7747
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Fax | 808-356-0888
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Provider Business Mailing Address
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Address Line | PO BOX 37252
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City | HONOLULU
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State | HI
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Zip | 96837-0252
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Country | US
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Telephone | 808-554-2104
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Fax | 808-356-0888
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Authorized Official
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Title or Position | CEO
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Name | TARA TANNENHOLZ
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Credential | PT
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Telephone | 808-348-7747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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