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General NPI Number Information
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NPI Number | 1114415338
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Entity Type | Individual
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Provider Name | SATOKO FISHER DDS
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Gender | Female
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Dates
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Enumeration Date | 04/23/2018
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 2571 BAGLYOS CIR STE B23
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City | BETHLEHEM
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State | PA
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Zip | 18020-8051
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Country | US
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Telephone | 484-821-1357
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Fax |
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Provider Business Mailing Address
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Address Line | 3180 PARTHENON AVE APT 106
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City | NASHVILLE
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State | TN
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Zip | 37203-1256
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Country | US
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Telephone | 512-633-6899
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 10856
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License Number State | TN
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