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General NPI Number Information
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NPI Number | 1891180287
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Entity Type | Organization
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Legal Business Name | DR. DON SAND
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Dates
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Enumeration Date | 04/02/2015
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Last Update Date | 04/02/2015
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Provider Practice Location Address
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Address Line | 54-135 HONOMU PL
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City | HAUULA
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State | HI
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Zip | 96717-9616
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Country | US
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Telephone | 808-428-1572
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Fax |
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Provider Business Mailing Address
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Address Line | 54-135 HONOMU PL
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City | HAUULA
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State | HI
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Zip | 96717-9616
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Country | US
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Telephone | 808-428-1572
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DON B SAND
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Credential | DDS
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Telephone | 808-428-1572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 35354
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 35354
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License Number State | CA
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