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General NPI Number Information
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NPI Number | 1407042005
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Entity Type | Organization
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Legal Business Name | RICHARD E. FISHBEIN, MD
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 06/09/2011
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Provider Practice Location Address
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Address Line | 1432 W MAIN ST SUITE 300
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City | LEBANON
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State | TN
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Zip | 37087-1323
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Country | US
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Telephone | 615-453-4074
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Fax | 615-453-4072
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Provider Business Mailing Address
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Address Line | PO BOX 1200
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City | LEBANON
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State | TN
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Zip | 37088-1200
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Country | US
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Telephone | 615-453-4074
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Fax | 615-453-4072
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD E FISHBEIN
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Credential | M.D.
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Telephone | 615-453-4074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD013323
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License Number State | TN
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