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NPI 1396014031

NPI 1396014031 : EUGENE W.M. NG, M.D., LLC. : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1396014031
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    Entity Type          |    Organization 
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    Legal Business Name  |    EUGENE W.M. NG, M.D., LLC. 
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Dates
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    Enumeration Date     |    12/27/2011
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    Last Update Date     |    04/29/2025
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Provider Practice Location Address
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    Address Line         |    615 PIIKOI STREET SUITE 1510
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96814-3142
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    Country              |    US
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    Telephone            |    808-356-3820
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    Fax                  |    808-356-3920
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Provider Business Mailing Address
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    Address Line         |    P.O. BOX 1300 MSC 61329
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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            |    808-356-3820
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MEMBER
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    Name                 |     GENE  NG 
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    Credential           |    M.D.
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    Telephone            |    808-356-3820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207WX0107X
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    Taxonomy Name        |    Retina Specialist (Ophthalmology) Physician
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    License Number       |    MD-15409
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    License Number State |    HI
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Taxonomy #2
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    MD-15409
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    License Number State |    HI
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Taxonomy #3
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    MD-15409
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    License Number State |    HI
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