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General NPI Number Information
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NPI Number | 1700490638
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Entity Type | Organization
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Legal Business Name | EUGENIE HONG DO PC
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Dates
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Enumeration Date | 09/08/2020
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Last Update Date | 09/08/2020
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Provider Practice Location Address
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Address Line | 2070 CENTURY PARK E
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City | LOS ANGELES
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State | CA
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Zip | 90067-1907
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Country | US
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Telephone | 909-654-4599
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Fax |
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Provider Business Mailing Address
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Address Line | 1719 W ALPS DR
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City | UPLAND
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State | CA
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Zip | 91784-2512
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Country | US
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Telephone | 909-654-4599
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EUGENIE HONG
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Credential |
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Telephone | 909-654-4599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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