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General NPI Number Information
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NPI Number | 1902831498
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Entity Type | Organization
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Legal Business Name | MILILANI PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 03/30/2010
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Provider Practice Location Address
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Address Line | 95-720 LANIKUHANA AVE 140
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City | MILILANI
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State | HI
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Zip | 96789-2985
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Country | US
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Telephone | 808-623-6244
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Fax | 808-623-6414
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Provider Business Mailing Address
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Address Line | 95-720 LANIKUHANA AVE 140
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City | MILILANI
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State | HI
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Zip | 96789-2985
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Country | US
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Telephone | 808-623-6244
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Fax | 808-623-6414
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARY LAU-MIKI
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Credential |
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Telephone | 808-623-6244
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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 |
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License Number State |
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