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General NPI Number Information
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NPI Number | 1831387158
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Entity Type | Organization
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Legal Business Name | PTWORKS, LLC
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 10/29/2007
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Provider Practice Location Address
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Address Line | 1111 HALA DR
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City | HONOLULU
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State | HI
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Zip | 96817-2157
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Country | US
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Telephone | 808-554-0611
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Fax |
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Provider Business Mailing Address
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Address Line | 3558A WOODLAWN DR
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City | HONOLULU
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State | HI
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Zip | 96822-1450
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Country | US
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Telephone | 808-554-0611
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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 | SUZANNA LYNN NEUFELDT
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Credential | PT
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Telephone | 808-554-0611
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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 | 1628
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License Number State | HI
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