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General NPI Number Information
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NPI Number | 1518190487
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Entity Type | Individual
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Provider Name | JOEL A. FISCHER DDS
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Gender | Male
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Dates
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Enumeration Date | 08/26/2009
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Last Update Date | 08/26/2009
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Provider Practice Location Address
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Address Line | 1 PARADIES LN SUITE 201A
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City | NEW PALTZ
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State | NY
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Zip | 12561-4031
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Country | US
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Telephone | 845-255-8350
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Fax | 845-255-2620
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Provider Business Mailing Address
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Address Line | 1 PARADIES LN SUITE 201A
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City | NEW PALTZ
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State | NY
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Zip | 12561-4031
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Country | US
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Telephone | 845-255-8350
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Fax | 845-255-2620
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 031553
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License Number State | NY
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