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NPI Code Detail

MEDICARE: AUTUMN FISCHER

MEDICARE: AUTUMN FISCHER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1467319038
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUTUMN FISCHER
Provider Business Mailing Address
First Line : 2495 W MARCH LN STE 125
Second Line :
City : STOCKTON
State : CA
Zip : 95207-8224
Country : US
Telephone Number : 209-465-1080
Fax Number : 209-465-2709
Provider Business Practice Location Address
First Line : 2495 W MARCH LN STE 125
Second Line :
City : STOCKTON
State : CA
Zip : 95207-8224
Country : US
Telephone Number : 209-465-1080
Fax Number : 209-465-2709
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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1912044785 — MR. EUGENE F. MARCELO BS
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Directions to “ AUTUMN FISCHER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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