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General NPI Number Information
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NPI Number | 1154355774
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Entity Type | Individual
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Provider Name | JOHN WILLIAM FLEISCHMAN PA-C
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 12/07/2010
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Provider Practice Location Address
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Address Line | 327 GREENTREE RD ROTHMAN INSTITUTE
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City | SEWELL
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State | NJ
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Zip | 08080-9229
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Country | US
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Telephone | 800-321-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 327 GREENTREE RD ROTHMAN INSTITUTE
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City | SEWELL
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State | NJ
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Zip | 08080-9229
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Country | US
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Telephone | 800-321-9999
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA01027600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 40QA01027600
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 40QA01027600
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 25MT00120500
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 25MP00248400
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License Number State | NJ
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Taxonomy #6
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | MA054556
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License Number State | PA
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