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General NPI Number Information
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NPI Number | 1013119700
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Entity Type | Individual
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Provider Name | IAN NUI CHUN MD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 75 AUPUNI ST RM 206
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City | HILO
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State | HI
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Zip | 96720-4245
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Country | US
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Telephone | 808-933-0599
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Fax | 808-933-0411
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Provider Business Mailing Address
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Address Line | 67-1294 LAIKEALOHA ST
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City | KAMUELA
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State | HI
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Zip | 96743-8317
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Country | US
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Telephone | 808-220-8914
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Fax | 808-887-8118
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 5053
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 5053
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 5053
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License Number State | HI
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