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General NPI Number Information
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NPI Number | 1295924140
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Entity Type | Individual
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Provider Name | TRISSY MINESHIMA CHUN M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 726 GREEN ST
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City | HONOLULU
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State | HI
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Zip | 96813-2119
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Country | US
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Telephone | 808-285-5955
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Fax |
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Provider Business Mailing Address
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Address Line | 2925 CHICAGO AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-1321
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Country | US
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Telephone | 612-262-5000
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A108636
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 16404
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License Number State | HI
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