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General NPI Number Information
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NPI Number | 1144367228
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Entity Type | Organization
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Legal Business Name | DRS.SEULYN LEE AU AND KHAN G W LAU OPTOMETRIST INC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 09/09/2021
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Provider Practice Location Address
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Address Line | 1450 ALA MOANA BLVD STE 3265
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City | HONOLULU
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State | HI
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Zip | 96814-4629
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Country | US
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Telephone | 808-941-1566
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Fax | 808-593-1566
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Provider Business Mailing Address
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Address Line | 1580 MAKALOA ST STE 950
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City | HONOLULU
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State | HI
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Zip | 96814-3258
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Country | US
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Telephone | 808-591-1566
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Fax | 808-593-1566
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Authorized Official
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Title or Position | MANAGING OPTOMETRIST
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Name | DR. SEULYN LEE AU
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Credential | OD
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Telephone | 808-591-1566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 203
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License Number State | HI
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