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General NPI Number Information
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NPI Number | 1457512881
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Entity Type | Organization
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Legal Business Name | RICHARD A. GUERIN, D.D.S., INC.
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 1600 KAPIOLANI BLVD 728
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City | HONOLULU
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State | HI
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Zip | 96814-3801
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Country | US
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Telephone | 808-955-3542
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Fax | 808-947-4001
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Provider Business Mailing Address
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Address Line | 1600 KAPIOLANI BLVD 728
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City | HONOLULU
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State | HI
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Zip | 96814-3801
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD GUERIN
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Credential |
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Telephone | 808-955-3542
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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 | 697
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License Number State | HI
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