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General NPI Number Information
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NPI Number | 1972745974
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Entity Type | Organization
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Legal Business Name | JOANNE T. LE DDS, INC.
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Dates
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Enumeration Date | 04/06/2009
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Last Update Date | 04/06/2009
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Provider Practice Location Address
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Address Line | 615 PIIKOI ST SUITE 1404-A
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City | HONOLULU
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State | HI
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Zip | 96814-3116
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Country | US
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Telephone | 808-591-2115
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Fax | 808-591-2213
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Provider Business Mailing Address
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Address Line | 615 PIIKOI ST SUITE 1404-A
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City | HONOLULU
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State | HI
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Zip | 96814-3116
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Country | US
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Telephone | 808-591-2115
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Fax | 808-591-2213
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Authorized Official
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Title or Position | RECEIPTIONIST
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Name | MRS. TOHA T THAI
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Credential |
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Telephone | 808-591-2115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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