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General NPI Number Information
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NPI Number | 1912121153
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Entity Type | Individual
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Provider Name | DAVID SEAN FITCH DO
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Gender | Male
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 140 HILL ST
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City | BUCYRUS
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State | OH
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Zip | 44820
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Country | US
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Telephone | 419-562-5281
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Fax |
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Provider Business Mailing Address
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Address Line | 700 N COLUMBUS ST
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City | CRESTLINE
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State | OH
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Zip | 44827-1455
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Country | US
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Telephone | 419-562-5281
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 35.127954
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License Number State | OH
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