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General NPI Number Information
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NPI Number | 1558081208
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Entity Type | Organization
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Legal Business Name | DR. DONALD T. FISCHER, D.D.S.
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Dates
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Enumeration Date | 09/01/2022
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 124 N INDIANA ST
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City | MOORESVILLE
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State | IN
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Zip | 46158-1503
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Country | US
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Telephone | 317-831-3370
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Fax | 317-834-6704
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Provider Business Mailing Address
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Address Line | 124 N INDIANA ST
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City | MOORESVILLE
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State | IN
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Zip | 46158-1503
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Country | US
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Telephone | 317-831-3370
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Fax | 317-834-6704
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DONALD T FISCHER
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Credential |
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Telephone | 317-831-3370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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