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General NPI Number Information
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NPI Number | 1295057669
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Entity Type | Individual
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Provider Name | JOHN W FIEGER
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Gender | Male
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Dates
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Enumeration Date | 02/25/2010
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Last Update Date | 02/25/2010
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Provider Practice Location Address
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Address Line | 555 LARKFIELD RD
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City | EAST NORTHPORT
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State | NY
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Zip | 11731-4203
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Country | US
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Telephone | 631-266-5093
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Fax | 631-266-5096
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Provider Business Mailing Address
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Address Line | 167 KINGS PARK RD
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City | COMMACK
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State | NY
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Zip | 11725-1602
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Country | US
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Telephone | 631-864-1355
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Fax | 631-266-5096
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 037463
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License Number State | NY
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