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General NPI Number Information
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NPI Number | 1497407662
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Entity Type | Individual
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Provider Name | ALYSSA LYN CHIN
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Gender | Female
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 01/19/2022
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Provider Practice Location Address
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Address Line | 95-550 LANIKUHANA AVE
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City | MILILANI
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State | HI
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Zip | 96789-1783
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Country | US
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Telephone | 808-623-0702
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Fax |
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Provider Business Mailing Address
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Address Line | 615 KULIOUOU RD
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City | HONOLULU
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State | HI
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Zip | 96821-2434
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Country | US
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Telephone | 808-352-3340
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 971
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License Number State | HI
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