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General NPI Number Information
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NPI Number | 1487759205
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Entity Type | Organization
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Legal Business Name | DUKE D. FISHER, MD INC
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 841 BLOSSOM HILL RD SUITE 209
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City | SAN JOSE
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State | CA
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Zip | 95123
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Country | US
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Telephone | 831-372-3018
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 CASS ST SUITE C-3
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City | MONTEREY
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State | CA
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Zip | 93940
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Country | US
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Telephone | 408-363-6533
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DUKE DE FISHER
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Credential | MD
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Telephone | 408-363-6533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C027357
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License Number State | CA
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