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General NPI Number Information
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NPI Number | 1316478720
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Entity Type | Individual
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Provider Name | AARON FONG MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 1380 LUSITANA ST STE 412
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City | HONOLULU
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State | HI
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Zip | 96813-2440
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Country | US
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Telephone | 808-599-3780
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Fax | 808-538-1672
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Provider Business Mailing Address
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Address Line | 1380 LUSITANA ST STE 412
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City | HONOLULU
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State | HI
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Zip | 96813-2440
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Country | US
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Telephone | 808-599-3780
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Fax | 808-538-1672
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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 | 0101272836
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | D0095668
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD24304
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License Number State | HI
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