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General NPI Number Information
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NPI Number | 1457735326
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Entity Type | Organization
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Legal Business Name | FAIRBANKS PARTNERS LLC
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Dates
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Enumeration Date | 07/10/2015
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 265 E ROLLINS ST STE 12000
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City | ORLANDO
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State | FL
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Zip | 32804-5571
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Country | US
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Telephone | 407-975-0200
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Fax | 407-975-0209
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Provider Business Mailing Address
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Address Line | 265 E ROLLINS ST STE 12000
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City | ORLANDO
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State | FL
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Zip | 32804-5571
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Country | US
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Telephone | 407-975-0200
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Fax | 407-975-0209
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Authorized Official
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Title or Position | PRESIDENT
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Name | MELVIN FIELD
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Credential | MD
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Telephone | 407-975-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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