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General NPI Number Information
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NPI Number | 1427363571
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Entity Type | Organization
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Legal Business Name | RICHARD A RASMUSSEN DDS INC
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Dates
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Enumeration Date | 08/13/2010
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Last Update Date | 08/13/2010
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Provider Practice Location Address
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Address Line | 1063 L OWER MAIN ST STE C221
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City | WAILUKU
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State | HI
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Zip | 96793
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Country | US
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Telephone | 808-244-7634
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Fax | 808-242-2851
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Provider Business Mailing Address
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Address Line | 1063 L OWER MAIN ST STE C221
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City | WAILUKU
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State | HI
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Zip | 96793
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Country | US
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Telephone | 808-244-7634
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Fax | 808-242-2851
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Authorized Official
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Title or Position | ORAL SURGEON
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Name | DR. RICHARD A RASMUSSEN
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Credential | DDS
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Telephone | 808-244-7634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 926
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License Number State | HI
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