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General NPI Number Information
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NPI Number | 1194013102
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Entity Type | Organization
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Legal Business Name | HEALTHY HAWAIIAN SMILES,LLC
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Dates
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Enumeration Date | 07/12/2011
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Last Update Date | 07/12/2011
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Provider Practice Location Address
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Address Line | 1003 BISHOP ST STE 340
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City | HONOLULU
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State | HI
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Zip | 96813-6400
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Country | US
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Telephone | 808-537-2880
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Fax | 808-537-1553
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Provider Business Mailing Address
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Address Line | 1003 BISHOP ST STE 340
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City | HONOLULU
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State | HI
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Zip | 96813-6400
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Country | US
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Telephone | 808-537-2880
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Fax | 808-537-1553
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Authorized Official
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Title or Position | OWNER
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Name | DR. CECILE DALUPAN SEBASTIAN
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Credential | DDS
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Telephone | 808-537-2880
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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 | 1706
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License Number State | HI
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