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General NPI Number Information
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NPI Number | 1952667032
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Entity Type | Organization
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Legal Business Name | CHRIS MCNEIL DDS, LTD.
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Dates
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Enumeration Date | 04/03/2012
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Last Update Date | 04/03/2012
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Provider Practice Location Address
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Address Line | 1830 WELLS ST STE 201
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City | WAILUKU
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State | HI
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Zip | 96793-2365
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Country | US
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Telephone | 808-214-3253
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Fax |
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Provider Business Mailing Address
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Address Line | 1830 WELLS ST STE 201
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City | WAILUKU
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State | HI
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Zip | 96793-2365
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Country | US
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Telephone | 808-214-3253
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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. CHRIS MCNEIL
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Credential | DDS
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Telephone | 808-242-9708
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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 | 2073
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License Number State | HI
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