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General NPI Number Information
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NPI Number | 1922033992
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Entity Type | Individual
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Provider Name | JAMES A FRITZELL JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 08/06/2015
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Provider Practice Location Address
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Address Line | 22 BRAMHALL ST 4TH FLOOR EAST TOWER DIVISION OF NEONATOLOGY
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City | PORTLAND
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State | ME
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Zip | 04102-3134
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Country | US
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Telephone | 207-662-2553
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Fax |
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Provider Business Mailing Address
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Address Line | 22 BRAMHALL ST 4TH FLOOR EAST TOWER DIVISION OF NEONATOLOGY
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City | PORTLAND
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State | ME
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Zip | 04102-3134
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Country | US
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Telephone | 207-662-2553
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 227803
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 136808
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License Number State | CA
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