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General NPI Number Information
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NPI Number | 1891020855
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Entity Type | Individual
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Provider Name | EDITH C OAMIL-PACHO DMD
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Gender | Female
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Dates
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Enumeration Date | 10/08/2009
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Last Update Date | 10/08/2009
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Provider Practice Location Address
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Address Line | 94-673 KUPUOHI ST C101
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City | WAIPAHU
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State | HI
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Zip | 96797-5367
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Country | US
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Telephone | 808-677-5588
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Fax | 808-677-6588
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Provider Business Mailing Address
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Address Line | 94-673 KUPUOHI STREET C101
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City | WAIPAHU
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State | HI
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Zip | 96797-5372
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Country | US
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Telephone | 808-677-5588
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Fax | 808-677-6588
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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 | DT1948
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License Number State | HI
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