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General NPI Number Information
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NPI Number | 1952341653
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Entity Type | Individual
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Provider Name | CAROLYN MARIE FLEMING FRUCI M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 400 SENTARA CIR STE 320
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-5716
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Country | US
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Telephone | 757-345-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 203 PLYMOUTH AVE STE 702
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City | FALL RIVER
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State | MA
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Zip | 02721-4300
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Country | US
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Telephone | 508-679-4239
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 26871
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 0101239948
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 155125
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 0101239948
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License Number State | VA
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