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General NPI Number Information
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NPI Number | 1689644502
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Entity Type | Organization
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Legal Business Name | CHEN-YEN WANG, N.P. INC.
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 N BERETANIA ST SUITE 214
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City | HONOLULU
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State | HI
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Zip | 96817-4712
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Country | US
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Telephone | 808-550-5686
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Fax | 808-550-5684
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Provider Business Mailing Address
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Address Line | 1702 KEWALO ST APT 1103
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City | HONOLULU
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State | HI
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Zip | 96822-3034
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Country | US
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Telephone | 808-538-8792
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Fax | 808-550-5684
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHEN YEN GRACE WANG
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Credential | N.P.
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Telephone | 808-550-5868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN-197
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License Number State | HI
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