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General NPI Number Information
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NPI Number | 1578271854
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Entity Type | Organization
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Legal Business Name | SOH PARTNERSHIP OF HAWAII
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 95-221 KIPAPA DR
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City | MILILANI
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State | HI
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Zip | 96789-1147
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Country | US
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Telephone | 808-261-4696
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Fax |
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Provider Business Mailing Address
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Address Line | 1190 MERAMEC STATION RD STE 110
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City | BALLWIN
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State | MO
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Zip | 63021-6902
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Country | US
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Telephone | 636-362-4986
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Fax |
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Authorized Official
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Title or Position | EMPLOYEE RELATIONS MANAGER
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Name | DINKA JENNINGS
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Credential |
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Telephone | 636-362-4986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State | NULL
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