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General NPI Number Information
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NPI Number | 1760575468
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Entity Type | Individual
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Provider Name | DAVID R FLEMMING M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 11/02/2012
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Provider Practice Location Address
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Address Line | 757 PACIFIC STREET SUITE D1
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City | MONTEREY
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State | CA
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Zip | 93940-2872
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Country | US
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Telephone | 831-373-4304
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Fax | 831-373-0535
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Provider Business Mailing Address
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Address Line | 757 PACIFIC STREET SUITE D1
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City | MONTEREY
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State | CA
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Zip | 93940-2872
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Country | US
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Telephone | 831-373-4304
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Fax | 831-373-0535
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | G77558
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | G73785
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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License Number | G73785
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License Number State | CA
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