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General NPI Number Information
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NPI Number | 1508657933
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Entity Type | Individual
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Provider Name | CHARLENE FISCHER
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Gender |
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 4900 W 29TH AVE
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City | DENVER
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State | CO
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Zip | 80212-1565
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Country | US
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Telephone | 201-417-9099
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Fax |
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Provider Business Mailing Address
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Address Line | 4900 W 29TH AVE APT 304
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City | DENVER
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State | CO
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Zip | 80212-1574
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Country | US
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Telephone |
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.1000573-NP
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License Number State | CO
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