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General NPI Number Information
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NPI Number | 1366827115
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Entity Type | Organization
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Legal Business Name | ROBERT E FISCHER DDS PA INC
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Dates
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Enumeration Date | 07/22/2015
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Last Update Date | 07/22/2015
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Provider Practice Location Address
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Address Line | 15880 SUMMERLIN RD SUITE 107
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City | FORT MYERS
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State | FL
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Zip | 33908-9612
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Country | US
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Telephone | 239-694-1118
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Fax | 239-267-5925
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Provider Business Mailing Address
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Address Line | 15880 SUMMERLIN RD SUITE 107
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City | FORT MYERS
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State | FL
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Zip | 33908-9612
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Country | US
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Telephone | 239-694-1118
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Fax | 239-267-5925
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ROBERT EDWARD FISCHER
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Credential | D.D.S.
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Telephone | 239-694-1118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN13894
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License Number State | FL
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