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General NPI Number Information
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NPI Number | 1972735215
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Entity Type | Organization
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Legal Business Name | ADRIANA FITZSIMMONS, MD LLC
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 08/20/2009
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Provider Practice Location Address
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Address Line | 3301 RTE 66 BLDG B
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City | NEPTUNE
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State | NJ
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Zip | 07753-2705
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Country | US
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Telephone | 732-455-3870
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Fax |
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Provider Business Mailing Address
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Address Line | 3301 RTE 66 BLDG B
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City | NEPTUNE
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State | NJ
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Zip | 07753-2705
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Country | US
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Telephone | 732-455-3870
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. ADRIANA FITZSIMMONS
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Credential | M.D
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Telephone | 732-455-3870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA07151300
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License Number State | NJ
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