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NPI 1942528682

NPI 1942528682 : LORI A. ASADA O.T. : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1942528682
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    Entity Type          |    Individual 
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    Provider Name        |    LORI A. ASADA O.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/05/2010
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    Last Update Date     |    04/16/2019
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Provider Practice Location Address
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    Address Line         |    1700 LANAKILA AVE 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96817-2115
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    Country              |    US
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    Telephone            |    503-869-6399
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1700 LANAKILA AVE RM 210 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96817-2115
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    Country              |    US
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    Telephone            |    808-832-5688
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    1076721
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    License Number State |    OR
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    1521
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    License Number State |    HI
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