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General NPI Number Information
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NPI Number | 1942699541
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Entity Type | Individual
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Provider Name | KATIE AKIKO SHAW D.P.T.
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Gender | Female
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Dates
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Enumeration Date | 01/20/2015
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 1292 WAIANUENUE AVE
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City | HILO
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State | HI
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Zip | 96720-1228
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Country | US
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Telephone | 808-334-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 1468 MELE MANU ST
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City | HILO
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State | HI
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Zip | 96720-1794
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Country | US
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Telephone | 808-345-6973
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT-4201
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 2251H1200X
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Taxonomy Name | Hand Physical Therapist
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License Number | PT-4201
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License Number State | HI
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