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General NPI Number Information
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NPI Number | 1336154038
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Entity Type | Organization
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Legal Business Name | PACIFIC UROLOGY INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 06/07/2011
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Provider Practice Location Address
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Address Line | 1525 WILDER AVE APT 307 # 307
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City | HONOLULU
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State | HI
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Zip | 96822-4684
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Country | US
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Telephone | 808-955-8534
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Fax | 808-955-8547
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Provider Business Mailing Address
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Address Line | 1525 WILDER AVE APT 307 # 307
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City | HONOLULU
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State | HI
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Zip | 96822-4684
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Country | US
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Telephone | 808-955-8534
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Fax | 808-955-8547
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID SHU- AN CHOU
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Credential | M.D.
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Telephone | 808-955-8534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | MD--12959
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License Number State | HI
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