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General NPI Number Information
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NPI Number | 1295218113
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Entity Type | Organization
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Legal Business Name | BRADLEY K. HOOK
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Dates
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Enumeration Date | 09/07/2018
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 305 ULUNIU STREET SUITE #105
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City | KAILUA
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State | HI
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Zip | 96734
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Country | US
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Telephone | 808-241-4696
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Fax | 808-263-7897
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Provider Business Mailing Address
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Address Line | 305 ULUNIU STREET SUITE #105
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City | KAILUA
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State | HI
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Zip | 96734
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Country | US
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Telephone | 808-241-4696
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Fax | 808-263-7897
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRADLEY KENT HOOK
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Credential | D.D.S., M.S.
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Telephone | 980-826-1469
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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 |
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License Number State |
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