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General NPI Number Information
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NPI Number | 1366052904
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Entity Type | Organization
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Legal Business Name | KRZYS CHIN LMFT L.L.C.
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Dates
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Enumeration Date | 08/07/2020
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 1221 KAPIOLANI BLVD PH 50
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City | HONOLULU
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State | HI
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Zip | 96814-3518
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Country | US
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Telephone | 808-260-9893
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Fax |
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Provider Business Mailing Address
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Address Line | 6710B 107TH ST
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City | EWA BEACH
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State | HI
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Zip | 96706-3317
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MARITAL & FAMILY THERAPIST
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Name | KRZYSTOF CHIN
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Credential | LMFT, MAMFT
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Telephone | 929-841-4487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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