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General NPI Number Information
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NPI Number | 1003906819
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Entity Type | Organization
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Legal Business Name | FISCHMAN & BORGMEIER MD PA
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 09/26/2007
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Provider Practice Location Address
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Address Line | 1600 36TH STREET STE C
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City | VERO BEACH
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State | FL
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Zip | 38960
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Country | US
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Telephone | 772-569-6112
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Fax | 772-569-5058
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Provider Business Mailing Address
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Address Line | 1600 36TH STREET STE C
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City | VERO BEACH
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State | FL
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Zip | 38960
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Country | US
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Telephone | 772-569-6112
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Fax | 772-569-5058
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CAROL A FISCHMAN
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Credential |
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Telephone | 772-569-6114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | ME25700
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0089867
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME62133
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME44223
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA91103803
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME25700
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License Number State | FL
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