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General NPI Number Information
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NPI Number | 1235506031
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Entity Type | Individual
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Provider Name | JULIA NISHIOKA D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 08/27/2015
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Last Update Date | 07/29/2019
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Provider Practice Location Address
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Address Line | 719 KAM HWY STE A201
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City | PEARL CITY
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State | HI
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Zip | 96782-2771
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Country | US
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Telephone | 808-455-3485
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Fax | 808-455-6066
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Provider Business Mailing Address
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Address Line | 719 KAM HWY STE A201
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City | PEARL CITY
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State | HI
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Zip | 96782-2771
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Country | US
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Telephone | 808-455-3485
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Fax | 808-455-6066
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 64675
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DT2809
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License Number State | HI
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