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General NPI Number Information
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NPI Number | 1790096113
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Entity Type | Individual
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Provider Name | DAVID KENNETH FIEDLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 4551 N DAVIS HWY
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City | PENSACOLA
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State | FL
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Zip | 32503-2782
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Country | US
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Telephone | 850-464-9001
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Fax |
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Provider Business Mailing Address
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Address Line | 301 E. 17TH STREET ROOM 1402 NYU HJD DEPT. OF ORTHOPAEDIC SURGERY
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City | NEW YORK
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State | NY
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Zip | 10003
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Country | US
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Telephone | 212-598-6509
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Fax | 212-598-7654
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 68408
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | ME128529
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 68408
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License Number State | GA
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