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General NPI Number Information
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NPI Number | 1801974829
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Entity Type | Organization
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Legal Business Name | MCGRAW & BELLANCA, INC.
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 95-390 KUAHELANI AVE STE 4E
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City | MILILANI
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State | HI
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Zip | 96789-1190
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Country | US
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Telephone | 808-623-9881
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Fax | 866-701-6294
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Provider Business Mailing Address
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Address Line | 95-390 KUAHELANI AVE STE 4E
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City | MILILANI
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State | HI
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Zip | 96789-1190
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Country | US
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Telephone | 808-623-9881
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Fax | 866-701-6294
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Authorized Official
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Title or Position | DENTIST
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Name | LAWRENCE H. MCGRAW
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Credential | D.D.S.
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Telephone | 808-623-9881
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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 | 966
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License Number State | HI
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