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General NPI Number Information
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NPI Number | 1912967514
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Entity Type | Individual
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Provider Name | JORGE FLEISHER MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 11 NEVINS ST. SUITE 202
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City | BRIGHTON
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State | MA
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Zip | 02135
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Country | US
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Telephone | 617-789-2372
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Fax | 617-789-5048
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Provider Business Mailing Address
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Address Line | 736 CAMBRIDGE ST SJ3ID
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City | BRIGHTON
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State | MA
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Zip | 02135-2907
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Country | US
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Telephone | 617-789-2372
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Fax | 617-789-5048
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME109448
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | TM00991
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 203094
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License Number State | MA
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