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General NPI Number Information
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NPI Number | 1316964901
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Entity Type | Individual
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Provider Name | DR. RICHARD VAN FLETCHER
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 721 N ELM ST
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City | HIGH POINT
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State | NC
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Zip | 27262-3928
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Country | US
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Telephone | 336-905-6450
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Fax | 336-905-6451
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Provider Business Mailing Address
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Address Line | 624 QUAKER LN STE. 207C
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City | HIGH POINT
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State | NC
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Zip | 27262-3832
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Country | US
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Telephone | 336-883-2500
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Fax |
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 22396
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License Number State | NC
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