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General NPI Number Information
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NPI Number | 1770072720
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Entity Type | Organization
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Legal Business Name | HAWAII HOME THERAPY LLC
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Dates
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Enumeration Date | 05/05/2018
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Last Update Date | 04/09/2019
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Provider Practice Location Address
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Address Line | 91-249 LUKINI PL
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City | EWA BEACH
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State | HI
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Zip | 96706-4750
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Country | US
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Telephone | 808-206-8088
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Fax | 808-206-8088
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Provider Business Mailing Address
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Address Line | PO BOX 63188
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City | EWA BEACH
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State | HI
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Zip | 96706-1082
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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 | CO-FOUNDER
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Name | BRANDON TOMITA
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Credential |
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Telephone | 808-206-8088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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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 | 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 #4
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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 #5
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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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