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General NPI Number Information
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NPI Number | 1760736243
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Entity Type | Organization
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Legal Business Name | GRACE CHEN DDS LLC
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Dates
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Enumeration Date | 11/05/2012
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Last Update Date | 11/05/2012
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Provider Practice Location Address
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Address Line | 1441 KAPIOLANI BLVD STE 712
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City | HONOLULU
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State | HI
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Zip | 96814-4404
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Country | US
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Telephone | 808-744-4433
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 KAPIOLANI BLVD STE 712
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City | HONOLULU
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State | HI
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Zip | 96814
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Country | US
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Telephone | 808-744-4433
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. BING CDHEN
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Credential |
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Telephone | 720-933-3130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DT2308
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License Number State | HI
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