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General NPI Number Information
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NPI Number | 1538225354
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Entity Type | Individual
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Provider Name | RICHARD XAVIER FLEMING MD
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Gender | Male
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 166 TROUTBECK RD.
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City | LAKESIDE
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State | MT
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Zip | 59922-1067
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Country | US
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Telephone | 360-435-0242
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Fax | 360-435-9135
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Provider Business Mailing Address
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Address Line | P.O. BOX 1067
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City | LAKESIDE
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State | MT
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Zip | 59922-1067
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Country | US
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Telephone | 406-844-0212
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Fax | 406-844-0212
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD19312
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License Number State | WA
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