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General NPI Number Information
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NPI Number | 1366760043
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Entity Type | Individual
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Provider Name | FREDERICK DUENNEBIER MD
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Gender | Male
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Dates
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Enumeration Date | 05/05/2010
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 1164 BISHOP ST STE 1611
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City | HONOLULU
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State | HI
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Zip | 96813-2816
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Country | US
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Telephone | 808-261-7792
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Fax |
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Provider Business Mailing Address
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Address Line | 2704 NE 53RD ST
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City | SEATTLE
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State | WA
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Zip | 98105-3114
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Country | US
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Telephone | 808-429-3532
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD61085628
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD-18117
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License Number State | HI
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