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General NPI Number Information
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NPI Number | 1619939725
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Entity Type | Individual
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Provider Name | STEWART PETER AHN DDS
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Gender | Male
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 10/21/2016
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Provider Practice Location Address
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Address Line | 95-221 KIPAPA DR # 4-B
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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 | 800-795-2864
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Fax |
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Provider Business Mailing Address
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Address Line | 520 LUNALILO HOME RD #8119
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City | HONOLULU
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State | HI
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Zip | 96825-1700
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Country | US
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Telephone | 505-400-0320
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2025
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License Number State | NM
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