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General NPI Number Information
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NPI Number | 1548960446
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Entity Type | Individual
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Provider Name | DANYALLE KAHAEHOLOOKALANI CHUN DMD
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Gender | Female
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 03/10/2024
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Provider Practice Location Address
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Address Line | 770 E WARM SPRINGS RD STE 220
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City | LAS VEGAS
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State | NV
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Zip | 89119-4347
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Country | US
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Telephone | 702-844-0448
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Fax |
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Provider Business Mailing Address
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Address Line | 9759 PANTHER HOLLOW ST
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City | LAS VEGAS
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State | NV
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Zip | 89141-8709
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Country | US
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Telephone | 808-384-1316
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 7796
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License Number State | NV
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