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General NPI Number Information
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NPI Number | 1316183593
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Entity Type | Individual
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Provider Name | KATHY LYNN FISHER O.M.D.,ACUPUNCTURIST
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Gender | Female
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Dates
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Enumeration Date | 12/18/2008
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 1770 E VILLA DR STE 5
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City | COTTONWOOD
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State | AZ
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Zip | 86326
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Country | US
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Telephone | 928-634-1407
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Fax |
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Provider Business Mailing Address
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Address Line | 1077 W STATE ROUTE 89A
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City | CLARKDALE
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State | AZ
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Zip | 86324
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Country | US
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Telephone | 928-634-1407
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0532
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License Number State | AZ
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