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General NPI Number Information
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NPI Number | 1629405998
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Entity Type | Organization
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Legal Business Name | FLEISCHER SPINE, PLLC
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Dates
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Enumeration Date | 10/02/2013
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Last Update Date | 01/22/2015
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Provider Practice Location Address
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Address Line | 19 TYLER ST SUITE 104
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City | NASHUA
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State | NH
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Zip | 03060-2951
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Country | US
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Telephone | 603-521-7413
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Fax | 603-402-9348
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Provider Business Mailing Address
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Address Line | 19 TYLER ST SUITE 104
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City | NASHUA
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State | NH
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Zip | 03060-2951
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Country | US
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Telephone | 603-521-7413
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Fax | 603-402-9348
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. GARY D FLEISCHER
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Credential | M.D.
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Telephone | 603-521-7413
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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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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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