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NPI 1003928276

NPI 1003928276 : GENE W DOO MD : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1003928276
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    Entity Type          |    Organization 
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    Legal Business Name  |    GENE W DOO MD 
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Dates
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    Enumeration Date     |    08/31/2006
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    Last Update Date     |    12/17/2007
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Provider Practice Location Address
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    Address Line         |    1380 LUSITANA ST STE 1007
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96813-2461
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    Country              |    US
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    Telephone            |    808-521-2992
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    Fax                  |    808-521-2522
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1300 MAIL CODE 47866
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96807-1300
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    Country              |    US
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    Telephone            |    808-521-2992
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    Fax                  |    808-521-2522
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Authorized Official
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    Title or Position    |    SOLE PROPRIETOR
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    Name                 |    DR. GENE WAI DOO 
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    Credential           |    M.D.
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    Telephone            |    808-521-2992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    1937
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    License Number State |    HI
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