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General NPI Number Information
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NPI Number | 1003619016
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Entity Type | Organization
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Legal Business Name | M&A FISHER ENTERPRISES, INC
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1200 BATTLEFIELD BLVD N STE 120
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4790
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Country | US
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Telephone | 757-277-9382
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 BATTLEFIELD BLVD N STE 120
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4790
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Country | US
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Telephone | 757-277-9382
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MRS. MARTINA DAWNLEE FISHER
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Credential | LMT
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Telephone | 757-582-1190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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