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General NPI Number Information
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NPI Number | 1396041075
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Entity Type | Organization
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Legal Business Name | FLETCHER HOSPITAL INC
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Dates
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Enumeration Date | 01/28/2011
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 436 AIRPORT ROAD SUITE 20
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City | ARDEN
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State | NC
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Zip | 28704
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Country | US
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Telephone | 828-650-7282
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 WESTHALL LN STE 300
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City | MAITLAND
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State | FL
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Zip | 32751-7107
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Country | US
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Telephone | 407-200-2352
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Fax | 407-200-1360
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | BRANDON NUDD
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Credential |
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Telephone | 828-681-2102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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