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General NPI Number Information
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NPI Number | 1225163926
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Entity Type | Organization
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Legal Business Name | R & B FLECK ENTERPRISES, LLC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 1175 CARONDELET DR
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City | RICHLAND
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State | WA
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Zip | 99354-3300
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Country | US
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Telephone | 509-713-4381
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Fax | 509-529-5860
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Provider Business Mailing Address
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Address Line | 1365 BEET RD
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City | WALLA WALLA
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State | WA
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Zip | 99362-7180
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Country | US
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Telephone | 509-520-1794
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Fax | 509-529-5860
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD WAYNE FLECK
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Credential | M.D.
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Telephone | 509-240-5054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 252090019815
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License Number State | WA
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