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NPI Code Detail

MEDICARE: MR. DAVID QF CHUN

MEDICARE:  MR. DAVID QF CHUN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor0HI

General Provider Information

NPI Number : 1760728067
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID QF CHUN
Provider Business Mailing Address
First Line : PO BOX 10215
Second Line :
City : HILO
State : HI
Zip : 96721
Country : US
Telephone Number : 808-987-9228
Fax Number :
Provider Business Practice Location Address
First Line : 733 IWALANI ST
Second Line :
City : HILO
State : HI
Zip : 96721
Country : US
Telephone Number : 808-987-9228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2012
Last Update Date : 12/14/2012

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Directions to “ MR. DAVID QF CHUN ” Practice Location

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