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General NPI Number Information
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NPI Number | 1164301214
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Entity Type | Individual
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Provider Name | BRIANNA NICHOLE FISCHER
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Gender | Female
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Dates
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Enumeration Date | 09/01/2025
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 6305 INITIATIVE BLVD STE 101
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City | SARASOTA
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State | FL
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Zip | 34240-1384
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Country | US
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Telephone | 941-388-8997
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Fax |
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Provider Business Mailing Address
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Address Line | 9655 SWEETWELL PL
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City | RIVERVIEW
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State | FL
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Zip | 33569-5677
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Country | US
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Telephone | 719-334-0143
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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 |
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License Number State |
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