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General NPI Number Information
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NPI Number | 1295008399
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Entity Type | Individual
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Provider Name | AMANDA FISCHER NP
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Gender | Female
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Dates
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Enumeration Date | 02/21/2012
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 5900 S LAKE DR LOWR LEVEL
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City | CUDAHY
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State | WI
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Zip | 53110-3171
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Country | US
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Telephone | 414-744-4000
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Fax | 414-489-4022
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Provider Business Mailing Address
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Address Line | 5900 S LAKE DR
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City | CUDAHY
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State | WI
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Zip | 53110-3171
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Country | US
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Telephone | 414-744-4000
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Fax | 414-489-4022
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4609-33
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License Number State | WI
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