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General NPI Number Information
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NPI Number | 1043611270
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Entity Type | Individual
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Provider Name | JOHN FLETCHER PT
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Gender | Male
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Dates
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Enumeration Date | 09/08/2014
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 3078 DAUPHIN SQ CONNECTOR
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City | MOBILE
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State | AL
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Zip | 36607-2500
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Country | US
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Telephone | 251-341-5662
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Fax | 256-341-5663
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Provider Business Mailing Address
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Address Line | 251 JOHNSTON SEST 200
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City | DECATUR
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State | AL
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Zip | 35601-2515
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Country | US
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Telephone | 228-388-5714
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Fax | 228-388-0017
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH7263
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License Number State | AL
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