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General NPI Number Information
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NPI Number | 1609542141
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Entity Type | Organization
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Legal Business Name | COREY C CHINN MD LLC
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Dates
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Enumeration Date | 08/16/2021
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 98-1079 MOANALUA RD STE 450
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City | AIEA
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State | HI
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Zip | 96701-4723
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Country | US
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Telephone | 808-488-7747
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Fax |
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Provider Business Mailing Address
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Address Line | 98-1079 MOANALUA RD STE 450
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City | AIEA
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State | HI
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Zip | 96701-4723
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Country | US
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Telephone | 808-488-7747
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. COREY C CHINN
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Credential | MD
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Telephone | 808-286-9730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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