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General NPI Number Information
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NPI Number | 1649467887
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Entity Type | Organization
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Legal Business Name | H STEPHEN FLETCHER MD PA
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 200 SOUTH ORANGE AVE SUTE 203
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City | LIVINGSTON
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State | NJ
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Zip | 07039
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Country | US
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Telephone | 973-322-7977
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Fax | 973-322-7979
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Provider Business Mailing Address
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Address Line | 200 SOUTH ORANGE AVE SUTE 203
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City | LIVINGSTON
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State | NJ
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Zip | 07039
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Country | US
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Telephone | 973-322-7977
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Fax | 973-322-7979
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | H STEPHEN FLETCHER
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Credential | MD
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Telephone | 973-322-7977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MA26286
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License Number State | NJ
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