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General NPI Number Information
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NPI Number | 1972729226
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Entity Type | Individual
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Provider Name | BRIAN ARTHUR FLETCHER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 951 NW 13TH ST STE 1D
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City | BOCA RATON
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State | FL
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Zip | 33486-2337
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Country | US
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Telephone | 561-447-9341
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Fax | 561-447-4316
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Provider Business Mailing Address
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Address Line | 951 NW 13TH ST STE 1D
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City | BOCA RATON
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State | FL
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Zip | 33486-2337
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Country | US
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Telephone | 561-447-9341
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Fax | 561-447-4316
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME125941
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2012001748
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 39663
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 04-35206
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License Number State | KS
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