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General NPI Number Information
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NPI Number | 1114372174
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Entity Type | Individual
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Provider Name | CRAIG FISHER PA
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Gender | Male
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Dates
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Enumeration Date | 04/27/2016
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 222 E CANON PERDIDO ST STE 204
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2286
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Country | US
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Telephone | 805-699-6252
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Fax |
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Provider Business Mailing Address
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Address Line | 1375 E GRAND AVE # 126
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City | ARROYO GRANDE
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State | CA
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Zip | 93420-2421
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Country | US
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Telephone | 954-592-4336
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 57999
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License Number State | CA
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