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General NPI Number Information
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NPI Number | 1114249042
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Entity Type | Organization
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Legal Business Name | JOHN M. FLINCHBAUGH D.O., P.L.
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Dates
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Enumeration Date | 02/19/2010
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Last Update Date | 02/19/2010
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Provider Practice Location Address
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Address Line | 1689 EAGLE HARBOR PKWY E SUITE A
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City | ORANGE PARK
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State | FL
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Zip | 32003-4817
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Country | US
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Telephone | 904-269-1366
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Fax | 904-264-9750
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Provider Business Mailing Address
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Address Line | 1689 EAGLE HARBOR PKWY E SUITE A
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City | ORANGE PARK
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State | FL
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Zip | 32003-4817
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Country | US
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Telephone | 904-269-1366
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Fax | 904-264-9750
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | JOHN M FLINCHBAUGH
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Credential | D.O.
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Telephone | 904-269-1366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | OS4262
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License Number State | FL
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