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General NPI Number Information
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NPI Number | 1235256249
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Entity Type | Individual
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Provider Name | BARBARA J. FISH CFA
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Gender | Female
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1700 SW 100TH TER
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City | DAVIE
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State | FL
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Zip | 33324-7474
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Country | US
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Telephone | 954-472-9495
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 550321
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City | DAVIE
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State | FL
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Zip | 33355-0321
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Country | US
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Telephone | 954-472-9495
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Fax | 954-476-6986
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 85156
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License Number State | FL
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