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NPI 1265427900

NPI 1265427900 : NANCY CHEN MD : KAPOLEI, HI

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General NPI Number Information
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    NPI Number           |    1265427900
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    Entity Type          |    Individual 
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    Provider Name        |    NANCY CHEN MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/19/2005
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    Last Update Date     |    08/04/2014
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Provider Practice Location Address
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    Address Line         |    511 MANAWAI ST. #401 
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    City                 |    KAPOLEI
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    State                |    HI
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    Zip                  |    96707-2027
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    Country              |    US
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    Telephone            |    808-674-2273
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    511 MANAWAI ST. #401 
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    City                 |    KAPOLEI
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    State                |    HI
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    Zip                  |    96707-2027
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    Country              |    US
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    Telephone            |    808-674-2273
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    Fax                  |    
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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       |    10756
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    License Number State |    HI
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