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General NPI Number Information
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NPI Number | 1750697264
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Entity Type | Organization
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Legal Business Name | BENJAMIN CHU DDS & ASSOCIATES
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Dates
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Enumeration Date | 08/20/2010
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Last Update Date | 08/20/2010
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Provider Practice Location Address
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Address Line | 2153 N KING ST STE 102
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City | HONOLULU
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State | HI
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Zip | 96819-4570
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Country | US
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Telephone | 808-841-5515
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Fax |
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Provider Business Mailing Address
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Address Line | 2153 N KING ST SUITE 102
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City | HONOLULU
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State | HI
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Zip | 96819-4570
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Country | US
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Telephone | 808-841-5515
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BENJAMIN H CHU
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Credential | DDS
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Telephone | 808-841-5515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DT907
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License Number State | HI
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