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General NPI Number Information
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NPI Number | 1801966908
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Entity Type | Organization
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Legal Business Name | KEVIN C CHEN MD INC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 12/04/2007
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Provider Practice Location Address
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Address Line | 46 001 KAMEHAMEHA HIGHWAY CASTLE PROFESSIONAL CENTER SUITE 219
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City | KANEOHE
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State | HI
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Zip | 96744
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Country | US
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Telephone | 808-235-4567
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Fax |
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Provider Business Mailing Address
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Address Line | 46 001 KAMEHAMEHA HIGHWAY CASTLE PROFESSIONAL CENTER SUITE 219
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City | KANEOHE
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State | HI
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Zip | 96744
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Country | US
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Telephone | 808-235-4567
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEVIN C CHEN
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Credential | MD
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Telephone | 808-235-4567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 02586
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License Number State | HI
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