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General NPI Number Information
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NPI Number | 1689030959
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Entity Type | Individual
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Provider Name | FALLAN L PRYOR ANDERSON NP
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Gender | Female
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Dates
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Enumeration Date | 01/02/2016
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 755 SCOTT CIR
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City | JBPHH
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State | HI
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Zip | 96853-5399
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Country | US
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Telephone | 808-448-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 755 SCOTT CIR
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City | JBPHH
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State | HI
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Zip | 96853-5399
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Country | US
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Telephone | 808-448-6100
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 833052
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 18858
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R240367
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0992131
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License Number State | CO
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