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General NPI Number Information
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NPI Number | 1366938995
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Entity Type | Individual
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Provider Name | ELIZABETH DAEDRIE FISCHER NP
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Gender | Female
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Dates
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Enumeration Date | 07/06/2018
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 17388 N VILLAGE MAIN BLVD
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City | LEWES
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State | DE
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Zip | 19958-7240
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Country | US
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Telephone | 302-291-6050
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Fax | 833-450-5311
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Provider Business Mailing Address
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Address Line | 1515 SAVANNAH RD
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City | LEWES
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State | DE
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Zip | 19958-1675
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Country | US
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Telephone | 302-645-3499
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5010651
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | LG-0011537
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License Number State | DE
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