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General NPI Number Information
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NPI Number | 1811495336
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Entity Type | Organization
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Legal Business Name | JILL KANEMARU-HWANG DDS LLC
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Dates
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Enumeration Date | 01/30/2018
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Last Update Date | 01/30/2018
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Provider Practice Location Address
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Address Line | 410 KILANI AVE STE 221
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City | WAHIAWA
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State | HI
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Zip | 96786-1844
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Country | US
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Telephone | 808-622-4354
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Fax |
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Provider Business Mailing Address
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Address Line | 410 KILANI AVE STE 221
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City | WAHIAWA
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State | HI
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Zip | 96786-1844
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Country | US
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Telephone | 808-622-4354
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JILL KANEMARU-HWANG
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Credential |
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Telephone | 808-622-4354
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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 | 2431
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License Number State | HI
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