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General NPI Number Information
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NPI Number | 1003918863
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Entity Type | Individual
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Provider Name | XIAO-LI SHELLY HUANG DDS
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Gender | Female
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 03/27/2014
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Provider Practice Location Address
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Address Line | 1136 UNION MALL SUITE 502
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City | HONOLULU
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State | HI
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Zip | 96813-2719
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Country | US
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Telephone | 808-947-2929
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Fax |
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Provider Business Mailing Address
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Address Line | 1136 UNION MALL SUITE 502
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City | HONOLULU
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State | HI
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Zip | 96813-2719
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Country | US
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Telephone | 808-222-5390
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DT2118
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901019104
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License Number State | MI
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