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General NPI Number Information
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NPI Number | 1801118450
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Entity Type | Individual
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Provider Name | JOHN M FIELDS
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Gender | Male
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Dates
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Enumeration Date | 02/24/2010
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Last Update Date | 05/27/2019
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Provider Practice Location Address
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Address Line | 322 NUWAY CIR
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City | LENOIR
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State | NC
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Zip | 28645-3656
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Country | US
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Telephone | 828-758-7326
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Fax | 828-754-5100
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Provider Business Mailing Address
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Address Line | 4146 CHERRYWOOD DR APT 20
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City | HUDSON
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State | NC
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Zip | 28638-9424
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Country | US
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Telephone | 182-875-8732
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Fax | 182-874-5100
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 7413
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License Number State | NC
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