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General NPI Number Information
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NPI Number | 1992039481
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Entity Type | Organization
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Legal Business Name | EUGENE M. AZUMA, D.D.S., INC.
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 1060 YOUNG ST STE 220
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City | HONOLULU
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State | HI
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Zip | 96814-1609
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Country | US
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Telephone | 808-528-2221
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Fax | 808-528-1116
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Provider Business Mailing Address
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Address Line | 1060 YOUNG ST STE 220
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City | HONOLULU
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State | HI
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Zip | 96814-1609
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Country | US
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Telephone | 808-528-2221
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Fax | 808-528-1116
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Authorized Official
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Title or Position | DENTIST
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Name | DR. EUGENE M. AZUMA
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Credential | DDS
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Telephone | 808-528-2221
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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 | DT-1658
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License Number State | HI
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