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General NPI Number Information
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NPI Number | 1427495860
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Entity Type | Individual
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Provider Name | CHANDY-ANN LEINAALA LOPES ND
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Gender | Female
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Dates
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Enumeration Date | 05/24/2013
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Last Update Date | 05/27/2019
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Provider Practice Location Address
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Address Line | 180 DICKENSON ST STE 218
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City | LAHAINA
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State | HI
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Zip | 96761
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Country | US
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Telephone | 808-667-9554
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Fax |
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Provider Business Mailing Address
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Address Line | 40 KIHALANI PL UNIT 3503
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City | KIHEI
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State | HI
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Zip | 96753-7671
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Country | US
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Telephone | 808-344-0561
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 246
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License Number State | HI
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