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General NPI Number Information
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NPI Number | 1467560011
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Entity Type | Individual
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Provider Name | WILLIAM FREDERICK FISCHER DMD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 738 OTAY LAKES RD
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City | CHULA VISTA
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State | CA
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Zip | 91910-6915
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Country | US
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Telephone | 619-482-9700
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Fax | 619-482-9703
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Provider Business Mailing Address
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Address Line | 738 OTAY LAKES RD
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City | CHULA VISTA
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State | CA
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Zip | 91910-6915
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Country | US
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Telephone | 619-482-9700
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Fax | 619-482-9703
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 33284
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License Number State | CA
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