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General NPI Number Information
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NPI Number | 1407005457
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Entity Type | Organization
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Legal Business Name | LESLIE W. S. AU DDS INC
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Dates
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Enumeration Date | 09/15/2008
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Last Update Date | 09/15/2008
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Provider Practice Location Address
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Address Line | 81-6592A MAMALAHOA HWY
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City | KEALAKEKUA
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State | HI
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Zip | 96750-0130
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Country | US
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Telephone | 808-323-3343
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 130
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City | KEALAKEKUA
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State | HI
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Zip | 96750-0130
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Country | US
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Telephone | 808-323-3343
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Fax | 808-323-3343
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LESLIE W.S. AU
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Credential | DDS
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Telephone | 808-323-3343
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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 | 815
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License Number State | HI
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