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General NPI Number Information
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NPI Number | 1336113125
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Entity Type | Individual
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Provider Name | JAMES M SAGAWA DMD
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Gender | Male
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Dates
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Enumeration Date | 02/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 730 LANAI AVENUE SUITE #101
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City | LANAI CITY
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State | HI
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Zip | 96763-0117
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Country | US
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Telephone | 808-565-6418
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Fax | 808-565-6418
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Provider Business Mailing Address
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Address Line | PO BOX 630117
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City | LANAI CITY
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State | HI
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Zip | 96763-0117
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Country | US
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Telephone | 808-565-6418
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Fax | 808-565-6742
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 740
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D4167
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License Number State | OR
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