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General NPI Number Information
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NPI Number | 1578814299
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Entity Type | Individual
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Provider Name | CORA FISHER
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Gender | Female
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Dates
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Enumeration Date | 09/20/2012
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Last Update Date | 02/28/2021
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Provider Practice Location Address
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Address Line | 611 W FRANCIS ST STE 100
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City | NORTH PLATTE
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State | NE
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Zip | 69101-0614
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Country | US
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Telephone | 308-534-2532
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Fax |
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Provider Business Mailing Address
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Address Line | 611 W FRANCIS ST STE 100
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City | NORTH PLATTE
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State | NE
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Zip | 69101-0614
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Country | US
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Telephone | 308-534-2532
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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 | C-APN.0002425-C-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 111419
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License Number State | NE
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