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General NPI Number Information
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NPI Number | 1780785451
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Entity Type | Organization
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Legal Business Name | EUGENE J LOUIENG, MD, PC
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8650 SUDLEY ROAD SUITE 303
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City | MANASSAS
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State | VA
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Zip | 20110
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Country | US
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Telephone | 703-361-3551
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Fax | 703-365-7702
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Provider Business Mailing Address
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Address Line | 8650 SUDLEY ROAD SUITE 303
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City | MANASSAS
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State | VA
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Zip | 20110
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Country | US
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Telephone | 703-361-3551
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Fax | 703-365-7702
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EUGENE J LOUIE-NG
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Credential | M.D.
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Telephone | 703-361-3551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101240017
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License Number State | VA
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