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General NPI Number Information
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NPI Number | 1790348480
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Entity Type | Individual
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Provider Name | MICHAEL PHILIP FIORE MD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2019
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 725 AMERICAN AVE
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City | WAUKESHA
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State | WI
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Zip | 53188-5031
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Country | US
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Telephone | 262-928-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 225 S EXECUTIVE DR
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City | BROOKFIELD
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State | WI
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Zip | 53005-4257
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Country | US
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Telephone | 262-787-4026
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Fax | 262-439-7683
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 1014761
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 83065-20
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 1014761
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 83065-20
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License Number State | WI
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