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General NPI Number Information
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NPI Number | 1164722518
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Entity Type | Individual
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Provider Name | BRENDA S FISCHER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 11/16/2022
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Provider Practice Location Address
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Address Line | 1401 W 5TH ST
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City | SHERIDAN
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State | WY
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Zip | 82801-2705
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Country | US
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Telephone | 307-675-2667
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Fax | 307-675-2668
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Provider Business Mailing Address
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Address Line | 281 UPPER PRAIRIE DOG RD
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City | BANNER
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State | WY
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Zip | 82832-9732
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Country | US
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Telephone | 307-259-2434
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9206.1081
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License Number State | WY
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