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General NPI Number Information
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NPI Number | 1265709083
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Entity Type | Organization
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Legal Business Name | GARY P FISHER MD LLC
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Dates
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Enumeration Date | 11/22/2011
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Last Update Date | 11/22/2011
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Provider Practice Location Address
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Address Line | 5530 WISCONSIN AVE SUITE #711
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4404
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Country | US
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Telephone | 301-654-1059
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Fax |
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Provider Business Mailing Address
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Address Line | 5530 WISCONSIN AVE SUITE #711
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4404
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Country | US
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Telephone | 301-654-1059
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GARY P FISHER
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Credential | MD
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Telephone | 301-654-1059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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