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General NPI Number Information
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NPI Number | 1972396620
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Entity Type | Individual
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Provider Name | KIRA CHUNG PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 221 MAHALANI ST
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City | WAILUKU
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State | HI
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Zip | 96793-2526
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Country | US
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Telephone | 808-242-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 480 KENOLIO RD APT 18-101
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City | KIHEI
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State | HI
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Zip | 96753-7536
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Country | US
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Telephone | 989-948-5088
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PH-3605
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License Number State | HI
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