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General NPI Number Information
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NPI Number | 1437649209
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Entity Type | Organization
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Legal Business Name | CINDY S. KUBOTA, DMD LLC
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Dates
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Enumeration Date | 05/16/2018
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Last Update Date | 05/16/2018
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Provider Practice Location Address
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Address Line | 812 LEHUA AVE STE D
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City | PEARL CITY
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State | HI
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Zip | 96782-3621
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Country | US
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Telephone | 808-455-1973
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Fax | 808-455-3488
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Provider Business Mailing Address
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Address Line | 812 LEHUA AVE STE D
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City | PEARL CITY
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State | HI
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Zip | 96782-3621
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Country | US
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Telephone | 808-455-1973
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Fax | 808-455-3488
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JADE KANO
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Credential |
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Telephone | 808-455-1973
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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 |
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License Number State |
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