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General NPI Number Information
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NPI Number | 1578629226
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Entity Type | Individual
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Provider Name | RONALD W. FLECK 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 | 03/06/2025
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Provider Practice Location Address
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Address Line | 1175 CARONDELET DR
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City | RICHLAND
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State | WA
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Zip | 99354-3300
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Country | US
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Telephone | 509-546-2222
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Fax | 509-546-2202
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Provider Business Mailing Address
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Address Line | PO BOX 563
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City | BLANCHARD
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State | ID
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Zip | 83804-0563
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Country | US
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Telephone | 509-240-5054
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Fax |
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | MD00019815
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License Number State | WA
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