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General NPI Number Information
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NPI Number | 1174631188
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Entity Type | Individual
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Provider Name | JAMES S FISTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 36W431 HUNTERS GATE RD
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City | SAINT CHARLES
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State | IL
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Zip | 60175-5129
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Country | US
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Telephone | 630-584-7397
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Fax |
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Provider Business Mailing Address
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Address Line | 36W431 HUNTERS GATE RD
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City | SAINT CHARLES
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State | IL
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Zip | 60175-5129
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Country | US
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Telephone | 630-584-7397
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 036059573
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 036059573
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License Number State | IL
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