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General NPI Number Information
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NPI Number | 1841489895
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Entity Type | Organization
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Legal Business Name | WEISS P.T., INC.
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 98-1247 KAAHUMANU ST STE 117
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City | AIEA
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State | HI
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Zip | 96701-5300
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Country | US
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Telephone | 808-396-8908
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Fax |
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Provider Business Mailing Address
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Address Line | 1340 LOPAKA PL
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City | KAILUA
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State | HI
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Zip | 96734-4538
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Country | US
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Telephone | 808-352-6046
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DOUGLAS L. WEISS
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Credential | P.T.
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Telephone | 808-352-6046
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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 | 1708
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License Number State | HI
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