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General NPI Number Information
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NPI Number | 1043564131
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Entity Type | Organization
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Legal Business Name | SCOTT K. TAKIGUCHI, DDS, INC.
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Dates
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Enumeration Date | 10/29/2012
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Last Update Date | 10/29/2012
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Provider Practice Location Address
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Address Line | 2525 S KING ST SUITE 305
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City | HONOLULU
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State | HI
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Zip | 96826-3154
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Country | US
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Telephone | 808-949-2378
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 S KING ST SUITE 305
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City | HONOLULU
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State | HI
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Zip | 96826-3154
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Country | US
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Telephone | 808-949-2378
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT K TAKIGUCHI
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Credential | DDS
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Telephone | 808-949-2378
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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 | 1131
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License Number State | HI
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