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General NPI Number Information
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NPI Number | 1114868908
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Entity Type | Organization
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Legal Business Name | ANUENUE PEDIATRIC & GENERAL DENTISTRY, LLC
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 65-1292 KAWAIHAE RD STE B
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City | KAMUELA
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State | HI
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Zip | 96743-8404
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Country | US
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Telephone | 808-481-2488
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Fax | 808-481-2489
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Provider Business Mailing Address
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Address Line | PO BOX 729
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City | KAMUELA
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State | HI
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Zip | 96743-0729
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Country | US
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Telephone | 808-481-2488
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Fax | 808-481-2489
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. MELANIE WHALEN
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Credential | DMD
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Telephone | 908-304-3664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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