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General NPI Number Information
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NPI Number | 1811850340
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Entity Type | Organization
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Legal Business Name | SERENITY THAI MASSAGE HAWAII LLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 91-3575 IWIKUAMOO ST UNIT 303
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City | EWA BEACH
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State | HI
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Zip | 96706-6895
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Country | US
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Telephone | 808-798-7062
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Fax |
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Provider Business Mailing Address
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Address Line | 94-794 KAAHOLO ST
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City | WAIPAHU
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State | HI
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Zip | 96797-1284
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Country | US
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Telephone | 808-798-7062
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | MRS. YANISA THONG EMPLEO
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Credential |
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Telephone | 929-464-5978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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