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General NPI Number Information
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NPI Number | 1154698405
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Entity Type | Organization
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Legal Business Name | KARL BEAU FISCHER, JR.
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 05/29/2013
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Provider Practice Location Address
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Address Line | 6 BOSTON ROAD SUITE 107
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City | CHELMSFORD
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State | MA
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Zip | 01824-0346
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Country | US
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Telephone | 978-250-1500
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Fax | 978-250-1515
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Provider Business Mailing Address
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Address Line | 6 BOSTON ROAD SUITE 107
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City | CHELMSFORD
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State | MA
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Zip | 01824-0346
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Country | US
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Telephone | 978-250-1500
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Fax | 978-250-1515
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Authorized Official
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Title or Position | CHIROPRACTOR OF RECORD, CHELMSFORD
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Name | DR. KARL BEAU FISCHER JR.
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Credential | DC
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Telephone | 978-250-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1356
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License Number State | MA
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