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General NPI Number Information
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NPI Number | 1659862977
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Entity Type | Organization
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Legal Business Name | LEILANI C. CURAMENG DMD LLC
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 677 ALA MOANA BLVD STE 304
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City | HONOLULU
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State | HI
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Zip | 96813-5415
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Country | US
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Telephone | 808-521-2441
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Fax |
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Provider Business Mailing Address
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Address Line | 677 ALA MOANA BLVD STE 304
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City | HONOLULU
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State | HI
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Zip | 96813-5415
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Country | US
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Telephone | 808-521-2441
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEILANI C CURAMENG
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Credential | DMD
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Telephone | 808-521-2441
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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 | 2004
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License Number State | HI
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