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General NPI Number Information
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NPI Number | 1487134995
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Entity Type | Organization
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Legal Business Name | FISHER ANESTHESIA & PAIN CONSULTANTS PC
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Dates
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Enumeration Date | 08/15/2018
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Last Update Date | 08/15/2018
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Provider Practice Location Address
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Address Line | 1415 ROSS AVE
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City | EL CENTRO
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State | CA
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Zip | 92243-4306
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Country | US
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Telephone | 760-339-7100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 568
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City | MUNCIE
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State | IN
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Zip | 47308-0568
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Country | US
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Telephone | 765-284-0493
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Fax | 765-284-2434
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | RICKY LEE FISHER
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Credential | D.O
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Telephone | 301-305-5959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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