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General NPI Number Information
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NPI Number | 1912533167
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Entity Type | Organization
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Legal Business Name | JOHN S. CHOCK, LLC
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Dates
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Enumeration Date | 03/19/2020
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Last Update Date | 03/19/2020
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Provider Practice Location Address
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Address Line | 438 HOBRON LN
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City | HONOLULU
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State | HI
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Zip | 96815-1233
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Country | US
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Telephone | 808-284-0455
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Fax | 808-564-0055
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Provider Business Mailing Address
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Address Line | 1948 NEHOA PL
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City | HONOLULU
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State | HI
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Zip | 96822-3068
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Country | US
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Telephone | 808-284-0455
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Fax | 808-564-0055
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JOHN S CHOCK
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Credential | MHC
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Telephone | 808-284-0455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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