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General NPI Number Information
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NPI Number | 1194495317
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Entity Type | Organization
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Legal Business Name | RICHARD H. MIYAMOTO, DDS
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Dates
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Enumeration Date | 09/18/2021
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Last Update Date | 09/18/2021
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Provider Practice Location Address
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Address Line | 615 PIIKOI ST STE 1101
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City | HONOLULU
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State | HI
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Zip | 96814-3141
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Country | US
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Telephone | 808-596-2622
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Fax | 808-596-2625
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Provider Business Mailing Address
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Address Line | 615 PIIKOI ST STE 1101
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City | HONOLULU
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State | HI
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Zip | 96814-3141
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Country | US
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Telephone | 808-596-2622
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Fax | 808-596-2625
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD HIROSHI MIYAMOTO
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Credential | DDS
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Telephone | 808-596-2622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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