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General NPI Number Information
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NPI Number | 1114006947
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Entity Type | Individual
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Provider Name | JOHN THOMAS FLETCHER M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 1615 N US HIGHWAY 75 STE A
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City | SHERMAN
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State | TX
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Zip | 75090-2815
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Country | US
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Telephone | 903-892-9179
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Fax | 903-868-2317
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Provider Business Mailing Address
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Address Line | PO BOX 35629
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City | DALLAS
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State | TX
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Zip | 75235-0629
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Country | US
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Telephone | 214-424-2213
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Fax | 214-231-2159
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | E2558
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | E2558
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License Number State | TX
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