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NPI 1366879843

NPI 1366879843 : JONATHAN K CHUN O.D. : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1366879843
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    Entity Type          |    Individual 
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    Provider Name        |    JONATHAN K CHUN O.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/30/2013
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    Last Update Date     |    08/10/2018
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Provider Practice Location Address
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    Address Line         |    737 BISHOP ST STE 110 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96813
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    Country              |    US
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    Telephone            |    808-523-6484
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    Fax                  |    844-784-6588
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Provider Business Mailing Address
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    Address Line         |    737 BISHOP ST STE 110 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96813-3202
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    Country              |    US
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    Telephone            |    808-523-6484
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    Fax                  |    844-784-6588
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    OD 777
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    License Number State |    HI
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