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General NPI Number Information
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NPI Number | 1922200088
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Entity Type | Individual
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Provider Name | ROSS SADAO OSHIRO ATC CSCS LMT
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Gender | Male
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 08/25/2008
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Provider Practice Location Address
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Address Line | 3221 WAIALAE AVE SUITE 300
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City | HONOLULU
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State | HI
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Zip | 96816
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Country | US
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Telephone | 808-732-1467
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Fax | 808-247-1768
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Provider Business Mailing Address
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Address Line | 3221 WAIALAE AVE SUITE 300
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City | HONOLULU
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State | HI
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Zip | 96816-5842
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Country | US
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Telephone | 808-732-1467
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Fax | 808-733-9890
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MAT-4202
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License Number State | HI
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