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General NPI Number Information
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NPI Number | 1558476366
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Entity Type | Individual
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Provider Name | ALFRED FISCHER D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 08/31/2011
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Provider Practice Location Address
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Address Line | 1190 JEFFERSON ST SUITE 203
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City | WASHINGTON
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State | MO
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Zip | 63090-4443
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Country | US
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Telephone | 636-239-3265
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Fax | 636-239-5385
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Provider Business Mailing Address
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Address Line | 1190 JEFFERSON ST SUITE 203
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City | WASHINGTON
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State | MO
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Zip | 63090-4443
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Country | US
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Telephone | 636-239-3265
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Fax | 636-239-5385
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 004925
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License Number State | MO
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