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General NPI Number Information
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NPI Number | 1457459729
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Entity Type | Organization
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Legal Business Name | WINFRED Y.K. CHANG, M.D., INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 407 ULUNIU ST STE. 313
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City | KAILUA
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State | HI
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Zip | 96734-2519
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Country | US
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Telephone | 808-261-3364
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Fax | 808-261-0734
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Provider Business Mailing Address
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Address Line | 40 AULIKE ST STE 411
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City | KAILUA
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State | HI
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Zip | 96734-2757
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Country | US
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Telephone | 808-261-3364
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Fax | 808-261-0734
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. NEILAND A. SADARANANDA
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Credential |
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Telephone | 808-261-3364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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