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General NPI Number Information
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NPI Number | 1104911429
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Entity Type | Individual
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Provider Name | RITABELLE FERNANDES MD
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 11/26/2016
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Provider Practice Location Address
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Address Line | 2239 N SCHOOL ST
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City | HONOLULU
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State | HI
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Zip | 96819-2539
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Country | US
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Telephone | 808-791-9400
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Fax | 808-848-0979
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Provider Business Mailing Address
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Address Line | 915 N KING ST
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City | HONOLULU
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State | HI
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Zip | 96817-4544
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Country | US
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Telephone | 808-791-9400
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Fax | 808-848-0979
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | MD-10677
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License Number State | HI
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