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General NPI Number Information
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NPI Number | 1114284205
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Entity Type | Individual
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Provider Name | BRENDT-ALEXANDER J. M. A. LUM DDS
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Gender | Male
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Dates
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Enumeration Date | 04/13/2012
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Last Update Date | 06/08/2022
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Provider Practice Location Address
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Address Line | 45-880 KAMEHAMEHA HWY STE 102
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City | KANEOHE
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State | HI
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Zip | 96744-2969
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Country | US
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Telephone | 808-247-5373
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Fax | 808-235-6671
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Provider Business Mailing Address
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Address Line | 45-880 KAMEHAMEHA HWY STE 102
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City | KANEOHE
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State | HI
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Zip | 96744-2969
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Country | US
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Telephone | 808-247-5373
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Fax | 808-235-6671
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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 | DT-2453
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License Number State | HI
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