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General NPI Number Information
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NPI Number | 1770652687
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Entity Type | Organization
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Legal Business Name | MICKEY M.Y. TSENG, M.D., M.P.H., INC.
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2228 LILIHA ST SUITE 101
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City | HONOLULU
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State | HI
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Zip | 96817-1650
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Country | US
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Telephone | 808-531-5070
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Fax | 808-531-5074
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Provider Business Mailing Address
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Address Line | PO BOX 2245
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City | AIEA
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State | HI
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Zip | 96701-8245
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Country | US
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Telephone | 808-484-1169
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Fax | 808-484-1168
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICKEY M.Y. TSENG
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Credential | M.D.
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Telephone | 808-531-5070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD-10396
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License Number State | HI
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