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General NPI Number Information
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NPI Number | 1457533754
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Entity Type | Organization
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Legal Business Name | DAVID M. FISHER M.D. P.C.
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 04/18/2018
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Provider Practice Location Address
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Address Line | 3673 SOUTHWESTERN BLVD
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1740
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Country | US
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Telephone | 716-662-4827
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Fax | 716-662-2969
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Provider Business Mailing Address
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Address Line | 3673 SOUTHWESTERN BLVD
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1740
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Country | US
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Telephone | 716-662-4827
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Fax | 716-662-2969
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. DAVID MICHAEL FISHER
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Credential | M.D.
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Telephone | 716-662-4827
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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 | 210934
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License Number State | NY
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