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General NPI Number Information
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NPI Number | 1811911837
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Entity Type | Individual
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Provider Name | SIU MING ALAIN CHAN APRN, BC
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 6770 HAWAII KAI DR APT 407
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City | HONOLULU
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State | HI
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Zip | 96825-1567
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Country | US
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Telephone | 415-481-8147
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Fax |
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Provider Business Mailing Address
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Address Line | 6770 HAWAII KAI DR APT 407
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City | HONOLULU
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State | HI
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Zip | 96825-1567
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Country | US
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Telephone | 415-481-8147
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-826
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 17588
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License Number State | CA
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