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General NPI Number Information
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NPI Number | 1659401099
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Entity Type | Organization
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Legal Business Name | H L FURUKAWA DDS INC
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 629 A KAILUA RD RM #1
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City | KAILUA
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State | HI
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Zip | 96734
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Country | US
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Telephone | 808-261-6685
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Fax | 808-262-6438
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Provider Business Mailing Address
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Address Line | PO BOX 488
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City | KAILUA
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State | HI
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Zip | 96734
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Country | US
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Telephone | 808-261-6685
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Fax | 808-262-6438
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HIROMU LIONEL FURUKAWA
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Credential | DDS
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Telephone | 808-261-6685
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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 | 502
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License Number State | HI
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