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General NPI Number Information
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NPI Number | 1326120957
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Entity Type | Individual
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Provider Name | JOHN W FLEMING MD
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Gender | Male
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 06/17/2011
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Provider Practice Location Address
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Address Line | 10122 E 10TH ST SUITE 100
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City | INDIANAPOLIS
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State | IN
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Zip | 46229-2663
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Country | US
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Telephone | 317-355-5717
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Fax | 317-355-3760
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Provider Business Mailing Address
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Address Line | 3826 SOLUTIONS CTR
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City | CHICAGO
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State | IL
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Zip | 60677-3008
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Country | US
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Telephone | 317-355-5837
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Fax | 317-355-2205
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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 | 01040475
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License Number State | IN
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