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General NPI Number Information
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NPI Number | 1801943931
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Entity Type | Organization
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Legal Business Name | MAUI PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 03/19/2018
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Provider Practice Location Address
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Address Line | 84 CENTRAL AVE
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City | WAILUKU
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State | HI
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Zip | 96793-1725
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Country | US
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Telephone | 808-244-5988
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Fax | 808-244-5989
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Provider Business Mailing Address
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Address Line | 84 CENTRAL AVE
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City | WAILUKU
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State | HI
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Zip | 96793-1725
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Country | US
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Telephone | 808-244-5988
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Fax | 808-244-5989
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | ERIC ROHOZINSKI
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Credential | RPT
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Telephone | 808-244-5988
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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 | PT-1123
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License Number State | HI
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