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General NPI Number Information
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NPI Number | 1811120082
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Entity Type | Organization
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Legal Business Name | EDWARD L. CHESNE, M.D., INC.
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Dates
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Enumeration Date | 09/03/2009
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Last Update Date | 09/03/2009
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Provider Practice Location Address
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Address Line | 1380 LUSITANA STREET SUITE 1002
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City | HONOLULU
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State | HI
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Zip | 96813-2461
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Country | US
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Telephone | 808-521-7402
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Fax | 808-537-2094
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Provider Business Mailing Address
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Address Line | 1380 LUSITANA STREET SUITE 1002
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City | HONOLULU
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State | HI
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Zip | 96813-2461
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Country | US
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Telephone | 808-521-7402
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Fax | 808-537-2094
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD LEONARD CHESNE
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Credential | M.D.
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Telephone | 808-521-7402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD1304
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License Number State | HI
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