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General NPI Number Information
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NPI Number | 1053427765
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Entity Type | Individual
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Provider Name | WILLIAM L FISHER PA-C
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Gender | Male
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 03/30/2012
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Provider Practice Location Address
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Address Line | 5200 HUMMINGBIRD RD STE 100
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City | WAUSAU
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State | WI
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Zip | 54401-6312
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Country | US
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Telephone | 715-359-6442
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Fax | 715-393-0390
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Provider Business Mailing Address
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Address Line | 5200 HUMMINGBIRD RD STE 100
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City | WAUSAU
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State | WI
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Zip | 54401-6312
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Country | US
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Telephone | 715-359-6442
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Fax | 715-393-0390
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 821
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 821
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License Number State | WI
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