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General NPI Number Information
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NPI Number | 1124110879
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Entity Type | Organization
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Legal Business Name | LINDA E FANCHER MD LLC
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1010 SOUTH KING ST STE 220
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City | HONOLULU
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State | HI
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Zip | 96814
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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 SOUTH KING ST STE 220
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City | HONOLULU
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State | HI
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Zip | 96814
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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 | OWNER
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Name | LINDA E FANCHER
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Credential | MD
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Telephone | 808-597-8038
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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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