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NPI 1588245955

NPI 1588245955 : ALLISON FISCHER DPM : WESTON, WI

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General NPI Number Information
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    NPI Number           |    1588245955
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    Entity Type          |    Individual 
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    Provider Name        |    ALLISON FISCHER DPM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/17/2021
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    Last Update Date     |    09/23/2024
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Provider Practice Location Address
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    Address Line         |    5403 NORMANDY ST 
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    City                 |    WESTON
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    State                |    WI
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    Zip                  |    54476-2217
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    Country              |    US
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    Telephone            |    715-241-8100
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    Fax                  |    715-241-8102
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Provider Business Mailing Address
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    Address Line         |    5403 NORMANDY ST 
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    City                 |    WESTON
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    State                |    WI
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    Zip                  |    54476-2217
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    Country              |    US
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    Telephone            |    715-241-8100
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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        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    1330-25
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    License Number State |    WI
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