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General NPI Number Information
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NPI Number | 1710034459
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Entity Type | Organization
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Legal Business Name | JONATHAN C. OKABE DDS INC
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 3425 ALA HINALO PL
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City | HONOLULU
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State | HI
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Zip | 96818-2225
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Country | US
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Telephone | 808-833-1704
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Fax |
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Provider Business Mailing Address
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Address Line | 3425 ALA HINALO PL
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City | HONOLULU
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State | HI
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Zip | 96818-2225
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Country | US
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Telephone | 808-833-1704
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE COORD.
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Name | STEPHANIE OKABE
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Credential |
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Telephone | 808-833-1704
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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 | 998
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License Number State | HI
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