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General NPI Number Information
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NPI Number | 1326319120
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Entity Type | Organization
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Legal Business Name | MARK D. SAKURAI, D.D.S., LLC
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 01/25/2012
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Provider Practice Location Address
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Address Line | 1600 KAPIOLANI BLVD UNIT 1319
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City | HONOLULU
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State | HI
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Zip | 96814-3801
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Country | US
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Telephone | 808-955-2439
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 KAPIOLANI BLVD. UNIT 1319
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City | HONOLULU
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State | HI
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Zip | 96814
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Country | US
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Telephone | 808-955-2439
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Fax |
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Authorized Official
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Title or Position | ENDODONTIST
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Name | DR. MARK DWIGHT SAKURAI
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Credential | DDS
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Telephone | 808-371-5860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DT1359
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License Number State | HI
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