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General NPI Number Information
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NPI Number | 1740613108
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Entity Type | Organization
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Legal Business Name | CRAIG A. YAMAMOTO, D.D.S., INC.
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Dates
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Enumeration Date | 08/20/2013
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Last Update Date | 08/20/2013
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Provider Practice Location Address
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Address Line | 1441 KAPIOLANI BLVD STE 1720
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City | HONOLULU
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State | HI
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Zip | 96814-4407
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Country | US
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Telephone | 808-949-5665
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Fax | 808-949-5775
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Provider Business Mailing Address
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Address Line | 1441 KAPIOLANI BLVD STE 1720
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City | HONOLULU
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State | HI
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Zip | 96814-4407
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Country | US
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Telephone | 808-949-5665
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Fax | 808-949-5775
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Authorized Official
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Title or Position | PRESIDENT
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Name | CRAIG A. YAMAMOTO
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Credential | D.D.S.
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Telephone | 808-949-5665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DT1726
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License Number State | HI
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