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General NPI Number Information
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NPI Number | 1669677324
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Entity Type | Individual
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Provider Name | SUMMER TOLBERT WOOD D.M.D
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Gender | Female
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 08/07/2007
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Provider Practice Location Address
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Address Line | 1580 MAKALOA ST SUITE 844
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City | HONOLULU
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State | HI
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Zip | 96814-3237
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Country | US
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Telephone | 808-943-0288
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Fax | 808-625-6269
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Provider Business Mailing Address
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Address Line | 46-130 KIOWAI ST UNIT 2724
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City | KANEOHE
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State | HI
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Zip | 96744-3676
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Country | US
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Telephone | 706-394-8349
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Fax | 808-941-4836
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DT2298
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN013529
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License Number State | GA
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