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General NPI Number Information
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NPI Number | 1548358393
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Entity Type | Organization
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Legal Business Name | WAYNE B L CHUN MD LLC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 1351 S BERETANIA ST STE J
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City | HONOLULU
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State | HI
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Zip | 96814-1825
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Country | US
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Telephone | 808-852-8289
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Fax |
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Provider Business Mailing Address
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Address Line | 1351 S BERETANIA ST STE J
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City | HONOLULU
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State | HI
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Zip | 96814-1825
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Country | US
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Telephone | 808-852-8289
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WAYNE B.L. CHUN
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Credential | M.D.
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Telephone | 808-852-8289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD 8858
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License Number State | HI
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