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General NPI Number Information
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NPI Number | 1306721402
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Entity Type | Individual
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Provider Name | GARRETT KALEO CHIN LEE
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Gender | Male
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 67-1125 MAMALAHOA HWY
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City | KAMUELA
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State | HI
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Zip | 96743-8496
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Country | US
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Telephone | 808-885-4444
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Fax | 808-881-4404
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Provider Business Mailing Address
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Address Line | PO BOX 1266
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City | KAILUA
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State | HI
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Zip | 96734-1266
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Country | US
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Telephone | 808-263-7202
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Fax | 808-263-4604
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | AMD1496
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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