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General NPI Number Information
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NPI Number | 1093989139
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Entity Type | Organization
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Legal Business Name | KENNEAL Y C CHUN MD LLC
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 1329 LUSITANA ST SUITE 407
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City | HONOLULU
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State | HI
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Zip | 96813-2429
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Country | US
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Telephone | 808-533-3368
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Fax | 808-536-4849
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Provider Business Mailing Address
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Address Line | 1329 LUSITANA ST SUITE 407
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City | HONOLULU
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State | HI
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Zip | 96813-2429
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Country | US
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Telephone | 808-533-3368
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Fax | 808-536-4849
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Authorized Official
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Title or Position | BILLER
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Name | GERMAINE LARIOZA
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Credential |
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Telephone | 808-533-3368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD3029
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License Number State | HI
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