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General NPI Number Information
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NPI Number | 1902026941
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Entity Type | Individual
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Provider Name | PRECIOUS KAI AQUINO PHYSICAL THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 11/09/2018
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Provider Practice Location Address
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Address Line | 1230 WANAKA ST
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City | HONOLULU
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State | HI
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Zip | 96818-1132
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Country | US
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Telephone | 808-728-7592
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Fax |
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Provider Business Mailing Address
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Address Line | 1230 WANAKA ST
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City | HONOLULU
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State | HI
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Zip | 96818-1132
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Country | US
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Telephone | 808-728-7592
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 40QA01017400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2103
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 33719
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License Number State | CA
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