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General NPI Number Information
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NPI Number | 1639381627
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Entity Type | Individual
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Provider Name | DAVID FITZGERALD M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 1236 HUFFMAN MILL RD STE 1000A
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City | BURLINGTON
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State | NC
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Zip | 27215-8700
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Country | US
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Telephone | 336-538-8760
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Fax | 336-538-8766
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Provider Business Mailing Address
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Address Line | 300 E WENDOVER AVE
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City | GREENSBORO
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State | NC
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Zip | 27401-1229
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Country | US
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Telephone | 336-663-5220
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2006-01749
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 53732
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 2006-01749
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License Number State | NC
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