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General NPI Number Information
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NPI Number | 1194007005
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Entity Type | Individual
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Provider Name | ANDREW K FISHER PHARMD.
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Gender | Male
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 09/16/2011
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Provider Practice Location Address
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Address Line | 2902 GODWIN BLVD
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City | SUFFOLK
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State | VA
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Zip | 23434-8040
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Country | US
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Telephone | 757-539-0734
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Fax |
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Provider Business Mailing Address
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Address Line | 5941 PITTSBURGH AVE
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City | MAYS LANDING
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State | NJ
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Zip | 08330-4015
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Country | US
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Telephone | 609-457-7088
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202210218
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License Number State | VA
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