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General NPI Number Information
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NPI Number | 1326349069
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Entity Type | Organization
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Legal Business Name | EVA FISCHER, MD, PLLC
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Dates
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Enumeration Date | 11/11/2010
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Last Update Date | 11/11/2010
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Provider Practice Location Address
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Address Line | 134 ROUTE 59
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City | SUFFERN
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State | NY
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Zip | 10901-4917
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Country | US
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Telephone | 845-357-8118
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Fax | 845-357-0101
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Provider Business Mailing Address
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Address Line | 134 ROUTE 59
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City | SUFFERN
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State | NY
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Zip | 10901-4917
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Country | US
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Telephone | 845-357-8118
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Fax | 845-357-0101
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MARK SCHAEFER
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Credential |
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Telephone | 845-357-8118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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