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General NPI Number Information
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NPI Number | 1942449855
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Entity Type | Organization
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Legal Business Name | HAROLD MASUNAGA DDS INC
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Dates
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Enumeration Date | 02/17/2009
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Last Update Date | 02/17/2009
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Provider Practice Location Address
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Address Line | 1600 KAPIOLANI BLVD STE 515
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City | HONOLULU
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State | HI
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Zip | 96814-3802
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Country | US
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Telephone | 808-949-6705
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Fax |
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Provider Business Mailing Address
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Address Line | 960 CENTER ST STE 3
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City | WAHIAWA
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State | HI
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Zip | 96786-2038
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Country | US
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Telephone | 808-622-1116
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. ROSS MASUNAGA
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Credential | DDS
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Telephone | 808-622-1116
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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 | 1897
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License Number State | HI
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