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General NPI Number Information
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NPI Number | 1174930184
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Entity Type | Organization
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Legal Business Name | EDMUND L.W. CHAR DMD INC.
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Dates
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Enumeration Date | 07/22/2014
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Last Update Date | 07/22/2014
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Provider Practice Location Address
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Address Line | 600 KAPIOLANI BLVD STE 407
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City | HONOLULU
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State | HI
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Zip | 96813-5141
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Country | US
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Telephone | 808-949-5571
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Fax |
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Provider Business Mailing Address
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Address Line | 600 KAPIOLANI BLVD STE 407
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City | HONOLULU
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State | HI
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Zip | 96813-5141
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Country | US
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Telephone |
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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. EDMUND LW CHAR
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Credential | DMD
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Telephone | 808-949-5571
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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 | DT1915
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License Number State | HI
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