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General NPI Number Information
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NPI Number | 1073631362
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Entity Type | Individual
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Provider Name | LINDA E. FANCHER M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 01/14/2014
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Provider Practice Location Address
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Address Line | 1010 S KING ST STE 220
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City | HONOLULU
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State | HI
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Zip | 96814-1703
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Country | US
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Telephone | 808-597-8038
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Fax | 808-596-2387
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Provider Business Mailing Address
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Address Line | 1010 S KING ST STE 220
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City | HONOLULU
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State | HI
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Zip | 96814-1703
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Country | US
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Telephone | 808-597-8038
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Fax | 808-596-2387
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 9061
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License Number State | HI
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