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General NPI Number Information
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NPI Number | 1669511846
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Entity Type | Organization
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Legal Business Name | MARTIN FLEISHMAN MD INC
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/29/2012
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Provider Practice Location Address
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Address Line | 909 HYDE ST. STE 620
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City | S.F.
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State | CA
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Zip | 94109
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Country | US
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Telephone | 415-673-9934
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Fax | 415-673-9957
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Provider Business Mailing Address
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Address Line | 909 HYDE ST. STE 620
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City | S.F.
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State | CA
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Zip | 94109
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Country | US
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Telephone | 415-673-9934
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Fax | 415-673-9957
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARTIN FLEISHMAN
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Credential | MD
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Telephone | 415-673-9934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A20119
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License Number State | CA
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