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General NPI Number Information
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NPI Number | 1164943924
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Entity Type | Individual
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Provider Name | BRYAN JAMES FIEMA DO
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Gender | Male
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Dates
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Enumeration Date | 07/03/2017
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 229 SUMMIT ST STE 10
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City | BATAVIA
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State | NY
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Zip | 14020-1645
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Country | US
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Telephone | 585-442-5320
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Fax |
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Provider Business Mailing Address
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Address Line | 100 KINGS HWY S
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City | ROCHESTER
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State | NY
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Zip | 14617-5504
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Country | US
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Telephone | 585-922-1900
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OT017842
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 323213
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License Number State | NY
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