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General NPI Number Information
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NPI Number | 1184923765
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Entity Type | Individual
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Provider Name | SHELBI CHING JIM ON MD
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Gender | Female
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 07/06/2024
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Provider Practice Location Address
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Address Line | 3221 WAIALAE AVE STE 382
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City | HONOLULU
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State | HI
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Zip | 96816-5845
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Country | US
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Telephone | 808-940-0961
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Fax | 808-201-4951
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Provider Business Mailing Address
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Address Line | 3221 WAIALAE AVE STE 382
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City | HONOLULU
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State | HI
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Zip | 96816-5845
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Country | US
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Telephone | 808-940-0961
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Fax | 808-201-4951
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 265484
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD-20868
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License Number State | HI
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