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General NPI Number Information
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NPI Number | 1962488759
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Entity Type | Individual
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Provider Name | RODNEY FITZHUGH DPM
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Gender | Male
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 06/29/2010
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Provider Practice Location Address
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Address Line | 2701 NEW BERN AVE
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City | RALEIGH
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State | NC
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Zip | 27610-1822
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Country | US
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Telephone | 919-231-7969
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Fax | 919-231-7970
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Provider Business Mailing Address
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Address Line | PO BOX 14759
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City | RALEIGH
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State | NC
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Zip | 27620-4759
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Country | US
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Telephone | 919-231-7969
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Fax | 919-231-7970
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 474
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License Number State | NC
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