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General NPI Number Information
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NPI Number | 1356916118
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Entity Type | Individual
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Provider Name | MALVIN VIEN MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2021
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1130 N NIMITZ HWY RM C302
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City | HONOLULU
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State | HI
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Zip | 96817-6501
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Country | US
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Telephone | 808-538-0704
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Fax |
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Provider Business Mailing Address
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Address Line | 1634 MAKIKI ST APT 606
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City | HONOLULU
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State | HI
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Zip | 96822-4440
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Country | US
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Telephone | 917-376-7609
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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 | 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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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | MD-24288
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License Number State | HI
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