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NPI 1073641445

NPI 1073641445 : KRISTI JO FISCHER PT : BILLINGS, MT

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General NPI Number Information
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    NPI Number           |    1073641445
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    Entity Type          |    Individual 
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    Provider Name        |    KRISTI JO FISCHER PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/28/2007
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    Last Update Date     |    05/12/2016
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Provider Practice Location Address
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    Address Line         |    4300 NIGHT HAWK RD 
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    City                 |    BILLINGS
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    State                |    MT
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    Zip                  |    59106-9536
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    Country              |    US
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    Telephone            |    406-672-8868
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4300 NIGHT HAWK RD 
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    City                 |    BILLINGS
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    State                |    MT
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    Zip                  |    59106-9536
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    Country              |    US
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    Telephone            |    406-672-8868
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    Fax                  |    
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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        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    1582
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    License Number State |    MT
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Taxonomy #2
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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