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General NPI Number Information
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NPI Number | 1619100716
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Entity Type | Organization
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Legal Business Name | MYRON 'SKIP' KAWAKAMI D.D.S., INC.
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Dates
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Enumeration Date | 08/24/2009
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Last Update Date | 08/24/2009
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Provider Practice Location Address
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Address Line | 98-1238 KAAHUMANU ST STE 305
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City | PEARL CITY
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State | HI
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Zip | 96782-3250
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Country | US
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Telephone | 808-487-3355
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Fax |
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Provider Business Mailing Address
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Address Line | 98-1238 KAAHUMANU ST STE 305
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City | PEARL CITY
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State | HI
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Zip | 96782-3250
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Country | US
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Telephone | 808-487-3355
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. MYRON E KAWAKAMI
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Credential | D.D.S.
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Telephone | 808-487-3355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 8777
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License Number State | HI
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