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General NPI Number Information
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NPI Number | 1932443793
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Entity Type | Organization
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Legal Business Name | OAHU ORTHODONTICS INC
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Dates
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Enumeration Date | 11/19/2012
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Last Update Date | 11/19/2012
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Provider Practice Location Address
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Address Line | 3221 WAIALAE AVE STE 370
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City | HONOLULU
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State | HI
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Zip | 96816-5842
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Country | US
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Telephone | 312-404-5393
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Fax |
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Provider Business Mailing Address
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Address Line | 3221 WAIALAE AVE STE 370
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City | HONOLULU
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State | HI
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Zip | 96816-5842
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Country | US
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Telephone | 312-404-5393
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. ROSEMARIE TAN
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Credential | DDS
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Telephone | 312-404-5393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DT-2464
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License Number State | HI
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