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General NPI Number Information
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NPI Number | 1265526107
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Entity Type | Organization
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Legal Business Name | EMORY K. YOUNG, D.M.D. AND COLLYER K. YOUNG, D.D.S., INC.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3221 WAIALAE AVE SUITE 350
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City | HONOLULU
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State | HI
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Zip | 96816-5842
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Country | US
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Telephone | 808-732-5381
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Fax | 808-737-9022
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Provider Business Mailing Address
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Address Line | 3221 WAIALAE AVE SUITE 350
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City | HONOLULU
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State | HI
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Zip | 96816-5842
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Country | US
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Telephone | 808-732-5381
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Fax | 808-737-9022
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Authorized Official
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Title or Position | OFFICER
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Name | DR. COLLYER K. YOUNG
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Credential | D.D.S.
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Telephone | 808-732-5381
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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 |
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License Number State |
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