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General NPI Number Information
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NPI Number | 1932286432
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Entity Type | Organization
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Legal Business Name | GRACE KAR-YING WONG MD LLC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 01/26/2008
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Provider Practice Location Address
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Address Line | 1329 LUSITANA ST 709
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City | HONOLULU
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State | HI
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Zip | 96813-2429
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Country | US
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Telephone | 808-522-7380
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Fax | 808-522-7384
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Provider Business Mailing Address
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Address Line | 1329 LUSITANA ST 709
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City | HONOLULU
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State | HI
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Zip | 96813-2429
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Country | US
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Telephone | 808-522-7380
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Fax | 808-522-7384
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Authorized Official
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Title or Position | OWNER
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Name | GRACE KAR-YING OUCHI
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Credential |
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Telephone | 808-522-7380
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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 | MD-13477
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License Number State | HI
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