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General NPI Number Information
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NPI Number | 1881638583
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Entity Type | Individual
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Provider Name | MARK EVANS FLEMING DO
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 1200 N STATE ST
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City | LOS ANGELES
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State | CA
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Zip | 90089-1001
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Country | US
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Telephone | 301-956-0583
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Fax |
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Provider Business Mailing Address
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Address Line | 225 S GRAND AVE APT 1801
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City | LOS ANGELES
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State | CA
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Zip | 90012-4433
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Country | US
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Telephone | 301-956-0583
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Fax |
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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 | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 14334
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License Number State | CA
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