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General NPI Number Information
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NPI Number | 1649614116
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Entity Type | Organization
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Legal Business Name | DENTAL CARE PROFESSIONALS OF HAWAII, INC.
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Dates
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Enumeration Date | 04/26/2013
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Last Update Date | 04/26/2013
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Provider Practice Location Address
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Address Line | 1136 UNION MALL SUITE 502
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City | HONOLULU
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State | HI
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Zip | 96813-2719
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Country | US
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Telephone | 808-536-3405
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Fax | 808-523-2923
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Provider Business Mailing Address
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Address Line | 1136 UNION MALL SUITE 502
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City | HONOLULU
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State | HI
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Zip | 96813-2719
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Country | US
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Telephone | 808-536-3405
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Fax | 808-523-2923
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Authorized Official
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Title or Position | DENTIST
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Name | MISS XIAO-LI SHELLY HUANG
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Credential | DDS
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Telephone | 808-536-3405
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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 |
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License Number State |
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