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General NPI Number Information
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NPI Number | 1447682216
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Entity Type | Organization
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Legal Business Name | HENRY M. KITAJIMA, DDS, INC
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | 185 FRONT ST STE 100
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City | DANVILLE
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State | CA
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Zip | 94526-3323
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Country | US
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Telephone | 925-837-1301
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Fax | 925-837-1302
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Provider Business Mailing Address
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Address Line | 185 FRONT STREET, SUITE 100
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City | DANVILLE
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State | CA
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Zip | 94526
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Country | US
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Telephone | 925-837-1301
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Fax | 925-837-1302
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. HENRY M. KITAJIMA
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Credential | DDS
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Telephone | 925-837-1301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 22900
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License Number State | CA
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