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General NPI Number Information
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NPI Number | 1831575497
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Entity Type | Individual
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Provider Name | JON HIDEKAZU OZAKI DDS
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Gender | Male
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Dates
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Enumeration Date | 08/06/2015
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Last Update Date | 09/16/2015
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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 |
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Provider Business Mailing 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 |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DT2612
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License Number State | HI
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