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General NPI Number Information
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NPI Number | 1497995294
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Entity Type | Individual
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Provider Name | DONNA B FISHER CRNA
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Gender | Female
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Dates
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Enumeration Date | 03/06/2009
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 175 MADISON AVENUE
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City | MOUNT HOLLY
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State | NJ
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Zip | 08060
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Country | US
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Telephone | 609-267-0700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 95000-2130
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City | PHILADELPHIA
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State | PA
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Zip | 19195-2130
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Country | US
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Telephone | 201-804-2800
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Fax | 201-804-8883
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 26NR12144400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 26NJ00246900
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License Number State | NJ
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