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General NPI Number Information
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NPI Number | 1740234160
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Entity Type | Individual
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Provider Name | ALEXANDER FRUCHTER II MD
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 07/17/2012
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Provider Practice Location Address
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Address Line | 450 EAST MAIN ST #4
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City | MIDDLETOWN
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State | NY
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Zip | 10940-2578
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Country | US
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Telephone | 845-381-5109
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Fax | 845-531-4882
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Provider Business Mailing Address
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Address Line | 450 EAST MAIN ST #4 VITAL SIGNS MEDICAL ASSOC
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City | MIDDLETOWN
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State | NY
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Zip | 10940-2578
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Country | US
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Telephone | 845-381-5109
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Fax | 845-531-4882
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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 | 168696
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 168696
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License Number State | NY
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