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General NPI Number Information
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NPI Number | 1356577415
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Entity Type | Individual
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Provider Name | THOMAS TSUNG-PING CHEN PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2009
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Last Update Date | 06/23/2015
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Provider Practice Location Address
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Address Line | 2200 MAIN ST SUITE #519
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City | WAILUKU
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State | HI
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Zip | 96793-1681
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Country | US
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Telephone | 808-205-4489
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Fax |
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Provider Business Mailing Address
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Address Line | 135 KULAMANU CIR
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City | KULA
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State | HI
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Zip | 96790-8281
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Country | US
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Telephone | 808-205-4489
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY17965
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1352
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License Number State | HI
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