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General NPI Number Information
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NPI Number | 1427663897
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Entity Type | Individual
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Provider Name | DENISE LASHON FISHER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/12/2020
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Last Update Date | 09/12/2020
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Provider Practice Location Address
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Address Line | 17403 WOODRUFF AVE
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City | BELLFLOWER
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State | CA
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Zip | 90706-6746
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Country | US
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Telephone | 562-804-0742
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Fax |
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Provider Business Mailing Address
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Address Line | 335 E ALBERTONI ST STE 200-353
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City | CARSON
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State | CA
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Zip | 90746-1425
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Country | US
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Telephone | 310-701-5859
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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 | 95012659
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License Number State | CA
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