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General NPI Number Information
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NPI Number | 1871725523
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Entity Type | Organization
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Legal Business Name | CARY K CHANG DDS, INC
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Dates
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Enumeration Date | 08/13/2009
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Last Update Date | 08/13/2009
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Provider Practice Location Address
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Address Line | 46-001 KAMEHAMEHA HWY STE 318
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City | KANEOHE
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State | HI
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Zip | 96744-3728
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Country | US
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Telephone | 808-236-1336
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Fax | 808-234-0176
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Provider Business Mailing Address
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Address Line | 46-001 KAMEHAMEHA HWY STE 318
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City | KANEOHE
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State | HI
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Zip | 96744-3728
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Country | US
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Telephone | 808-236-1336
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Fax | 808-234-0176
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Authorized Official
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Title or Position | OWNER
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Name | CARY K CHANG
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Credential |
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Telephone | 808-236-1336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 1553
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License Number State | HI
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