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General NPI Number Information
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NPI Number | 1932352739
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC MASSAGE OF THE PACIFIC, LLC
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Dates
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Enumeration Date | 10/24/2008
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Last Update Date | 06/03/2010
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Provider Practice Location Address
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Address Line | 1188 BISHOP ST SUITE 2009
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City | HONOLULU
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State | HI
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Zip | 96813-3301
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Country | US
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Telephone | 808-566-6364
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Fax | 808-532-5150
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Provider Business Mailing Address
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Address Line | 1188 BISHOP ST SUITE 2009
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City | HONOLULU
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State | HI
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Zip | 96813-3301
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Country | US
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Telephone | 808-566-6364
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Fax | 808-532-5150
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Authorized Official
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Title or Position | OWNER
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Name | DAVID KIM
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Credential |
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Telephone | 808-566-6364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MAE 2278
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License Number State | HI
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