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General NPI Number Information
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NPI Number | 1023052933
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Entity Type | Individual
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Provider Name | WILLIAM R FLEMING M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 08/18/2015
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Provider Practice Location Address
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Address Line | 500 N US HIGHWAY 89 NORTHERN ARIZONA VA HCS
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City | PRESCOTT
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State | AZ
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Zip | 86313
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Country | US
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Telephone | 928-445-4860
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Fax | 928-776-6147
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Provider Business Mailing Address
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Address Line | 500 N US HIGHWAY 89 NORTHERN ARIZONA VA HCS
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City | PRESCOTT
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State | AZ
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Zip | 86313
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Country | US
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Telephone | 928-445-4860
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Fax | 928-776-6147
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 22386
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License Number State | AZ
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