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General NPI Number Information
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NPI Number | 1134236821
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Entity Type | Individual
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Provider Name | KENNETH KWAN-HYUN CHANG M.D., M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6600 KALANIANAOLE HWY STE 114C
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City | HONOLULU
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State | HI
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Zip | 96825-1273
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Country | US
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Telephone | 808-373-9373
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Fax | 808-373-9370
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Provider Business Mailing Address
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Address Line | 1839 LAUKAHI STREET
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City | HONOLULU
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State | HI
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Zip | 96825-1273
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Country | US
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Telephone | 808-373-9373
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Fax | 808-373-9370
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD17620
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License Number State | HI
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