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General NPI Number Information
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NPI Number | 1629218995
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Entity Type | Organization
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Legal Business Name | UEHARA FAMILY COSMETIC DENTISTRY
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Dates
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Enumeration Date | 02/26/2009
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Last Update Date | 02/26/2009
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Provider Practice Location Address
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Address Line | 1441 KAPIOLANI BLVD STE 1400
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City | HONOLULU
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State | HI
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Zip | 96814-4407
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Country | US
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Telephone | 808-955-2505
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Fax | 808-955-2087
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Provider Business Mailing Address
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Address Line | 1441 KAPIOLANI BLVD STE 1400
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City | HONOLULU
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State | HI
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Zip | 96814-4407
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Country | US
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Telephone | 808-955-2505
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Fax | 808-955-2087
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. GARRET K. UEHARA
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Credential | D.D.S
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Telephone | 808-955-2505
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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 | 1663
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1835
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1470
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License Number State | HI
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