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General NPI Number Information
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NPI Number | 1184046716
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Entity Type | Organization
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Legal Business Name | KEIKI DENTAL SPECIALISTS
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Dates
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Enumeration Date | 01/16/2014
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Last Update Date | 01/16/2014
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Provider Practice Location Address
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Address Line | 1302 MOANALUALANI CT APT D
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City | HONOLULU
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State | HI
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Zip | 96819-1221
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Country | US
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Telephone | 808-783-0253
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Fax |
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Provider Business Mailing Address
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Address Line | 66 KEKUANAOA ST # 360
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City | HILO
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State | HI
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Zip | 96720-4316
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Country | US
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Telephone | 808-935-1092
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ANDREW CHOY
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Credential | DDS
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Telephone | 808-783-0253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 2282
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License Number State | HI
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