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General NPI Number Information
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NPI Number | 1881673903
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Entity Type | Individual
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Provider Name | VICKY FIEDLER MD
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Gender | Female
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 09/17/2014
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Provider Practice Location Address
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Address Line | 1505 WEST SHERMAN AVENUE INSPIRA MEDICAL CENTER VINELAND
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City | VINELAND
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State | NJ
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Zip | 08060
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Country | US
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Telephone | 856-651-4945
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 191 PROVIDER ENROLLMENT DEPARTMENT
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City | ROCKLAND
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State | DE
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Zip | 19732-0191
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Country | US
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Telephone | 302-651-6212
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 25MA04144000
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License Number State | NJ
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