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General NPI Number Information
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NPI Number | 1346336682
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Entity Type | Individual
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Provider Name | CLAY JEFFREY FISHER MD
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 17198 ST LUKES WAY STE 600
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City | THE WOODLANDS
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State | TX
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Zip | 77384-8017
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Country | US
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Telephone | 936-266-2650
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Fax |
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Provider Business Mailing Address
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Address Line | 9305 PINECROFT DRIVE
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City | THE WOODLANDS
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State | TX
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Zip | 77380-3222
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Country | US
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Telephone | 281-943-2710
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Fax | 281-943-2713
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | J6106
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License Number State | TX
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