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General NPI Number Information
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NPI Number | 1285611293
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Entity Type | Individual
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Provider Name | BRIAN P. FITZPATRICK M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/30/2005
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Last Update Date | 04/21/2020
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Provider Practice Location Address
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Address Line | 100 ROSEBROOK WAY
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City | WAREHAM
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State | MA
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Zip | 02571-1138
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Country | US
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Telephone | 508-273-4950
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Fax | 508-273-4955
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Provider Business Mailing Address
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Address Line | 200 MILL RD STE 180
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City | FAIRHAVEN
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State | MA
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Zip | 02719-5252
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Country | US
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Telephone | 508-973-2000
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Fax | 508-973-2001
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 159443
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License Number State | MA
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