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General NPI Number Information
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NPI Number | 1255699278
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Entity Type | Individual
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Provider Name | JONATHON MICHAEL FIELDS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/27/2012
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Last Update Date | 08/15/2021
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Provider Practice Location Address
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Address Line | 210 9TH ST SE STE 1
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City | ROCHESTER
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State | MN
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Zip | 55904-6400
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Country | US
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Telephone | 507-292-7144
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Fax | 507-292-7069
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Provider Business Mailing Address
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Address Line | 1266 265TH ST
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City | JANESVILLE
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State | IA
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Zip | 50647-9759
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Country | US
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Telephone | 507-261-0556
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Fax | 319-575-6029
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 41199
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | 63255
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R-9371
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License Number State | IA
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