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General NPI Number Information
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NPI Number | 1932407434
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Entity Type | Organization
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Legal Business Name | GIFTED HANDS MASSAGE THERAPY, LLC
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Dates
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Enumeration Date | 03/08/2011
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Last Update Date | 03/08/2011
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Provider Practice Location Address
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Address Line | 75-5995 KUAKINI HWY SUITE 603
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City | KAILUA KONA
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State | HI
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Zip | 96740-2144
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Country | US
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Telephone | 808-326-1971
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5056
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City | KAILUA KONA
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State | HI
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Zip | 96745-5056
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Country | US
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Telephone | 808-326-1971
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | BONNIE LISA JONES
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Credential | BASS, LMT
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Telephone | 808-326-1971
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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 | 9192
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License Number State | HI
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