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NPI 1215179817

NPI 1215179817 : MR. WILLIAM H FLETCHER : CEDAR RAPIDS, IA

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General NPI Number Information
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    NPI Number           |    1215179817
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    Entity Type          |    Individual 
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    Provider Name        |    MR. WILLIAM H FLETCHER
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/27/2009
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    Last Update Date     |    03/27/2009
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Provider Practice Location Address
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    Address Line         |    3741 CENTER POINT RD NE 
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    City                 |    CEDAR RAPIDS
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    State                |    IA
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    Zip                  |    52402
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    Country              |    US
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    Telephone            |    319-393-4673
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    Fax                  |    319-393-5315
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Provider Business Mailing Address
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    Address Line         |    3741 CENTER PT RD NE 
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    City                 |    CEDAR RAPIDS
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    State                |    IA
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    Zip                  |    52402
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    Country              |    US
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    Telephone            |    319-393-4673
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    Fax                  |    319-393-5315
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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        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    851
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    License Number State |    IA
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