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General NPI Number Information
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NPI Number | 1104839331
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Entity Type | Organization
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Legal Business Name | S J FISHER AND ASSOCIATES FOOT AND ANKLE SPECIALIST PA
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 06/11/2018
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Provider Practice Location Address
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Address Line | 5151 KATY FWY STE 200
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City | HOUSTON
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State | TX
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Zip | 77007
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Country | US
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Telephone | 832-673-0500
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Fax | 832-673-0060
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Provider Business Mailing Address
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Address Line | 5151 KATY FWY STE 200
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City | HOUSTON
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State | TX
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Zip | 77007-2261
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Country | US
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Telephone | 832-673-0500
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Fax | 832-673-0060
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Authorized Official
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Title or Position | OWNER
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Name | DR. SYBIL J FISHER
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Credential | DPM
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Telephone | 832-673-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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