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General NPI Number Information
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NPI Number | 1770587743
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Entity Type | Individual
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Provider Name | SAMUEL BRYSON FLEMING II M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 07/10/2020
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Provider Practice Location Address
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Address Line | 10 MCDOWELL ST
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City | ASHEVILLE
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State | NC
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Zip | 28801-4104
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Country | US
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Telephone | 828-258-8545
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Fax | 828-254-0714
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Provider Business Mailing Address
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Address Line | PO BOX 63296
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City | CHARLOTTE
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State | NC
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Zip | 28263-3296
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Country | US
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Telephone | 828-258-8545
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Fax | 844-378-7512
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 96-00805
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License Number State | NC
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