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General NPI Number Information
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NPI Number | 1962691238
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Entity Type | Individual
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Provider Name | DAVID ANDREW FLETCHER MPT
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Gender | Male
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | 2024 WEST ST STE 101
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3552
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Country | US
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Telephone | 410-401-5354
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Fax | 877-805-9545
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Provider Business Mailing Address
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Address Line | 626C ADMIRAL DR # 619
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City | ANNAPOLIS
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State | MD
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Zip | 21401-2180
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Country | US
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Telephone | 410-401-5354
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Fax | 877-805-9545
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 19655
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License Number State | MD
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