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General NPI Number Information
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NPI Number | 1639432792
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Entity Type | Individual
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Provider Name | SATYAPRASAD C NAYAK D.M.D
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Gender | Male
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Dates
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Enumeration Date | 06/22/2012
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Last Update Date | 12/22/2020
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Provider Practice Location Address
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Address Line | 45-939 KAMEHAMEHA HWY STE 103
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City | KANEOHE
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State | HI
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Zip | 96744-3221
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Country | US
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Telephone | 808-247-6039
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Fax |
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Provider Business Mailing Address
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Address Line | 45-939 KAMEHAMEHA HWY STE 103
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City | KANEOHE
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State | HI
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Zip | 96744-3221
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Country | US
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Telephone | 808-247-6039
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DT2755
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License Number State | HI
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