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General NPI Number Information
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NPI Number | 1871729533
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Entity Type | Organization
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Legal Business Name | JACQUELINE S. BROWN, DDS, INC
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Dates
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Enumeration Date | 06/08/2009
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Last Update Date | 06/08/2009
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Provider Practice Location Address
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Address Line | 1600 KAPIOLANI BLVD SUITE 518
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City | HONOLULU
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State | HI
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Zip | 96814-3801
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Country | US
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Telephone | 808-949-5644
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Fax | 808-949-8852
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Provider Business Mailing Address
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Address Line | 1600 KAPIOLANI BLVD SUITE 518
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City | HONOLULU
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State | HI
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Zip | 96814-3801
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Country | US
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Telephone | 808-949-5644
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Fax | 808-949-8852
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JACQUELINE S. BROWN
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Credential | D.D.S.
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Telephone | 808-949-5644
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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 | 1894
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License Number State | HI
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