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General NPI Number Information
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NPI Number | 1982094652
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Entity Type | Organization
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Legal Business Name | RP MEDICAL LLC
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Dates
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Enumeration Date | 02/02/2015
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 270 DAIRY RD STE 239
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City | KAHULUI
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State | HI
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Zip | 96732-2986
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Country | US
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Telephone | 808-667-6161
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Fax |
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Provider Business Mailing Address
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Address Line | 270 DAIRY RD STE 239
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City | KAHULUI
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State | HI
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Zip | 96732-2986
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Country | US
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Telephone | 808-667-6161
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. AMANDA JEAN PROUTY
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Credential |
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Telephone | 808-280-2850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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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 | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | HI
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