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General NPI Number Information
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NPI Number | 1417062092
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Entity Type | Organization
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Legal Business Name | MEK MD INC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 929 KOAE ST
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City | HONOLULU
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State | HI
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Zip | 96816-5004
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Country | US
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Telephone | 808-734-1130
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Fax | 808-734-4425
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Provider Business Mailing Address
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Address Line | 929 KOAE ST
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City | HONOLULU
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State | HI
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Zip | 96816-5004
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Country | US
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Telephone | 808-221-2161
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Fax | 808-734-4425
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | DR. MARC EVAN KRUGER
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Credential | MD
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Telephone | 808-221-2161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | HI12656
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License Number State | HI
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