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General NPI Number Information
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NPI Number | 1598849788
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Entity Type | Organization
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Legal Business Name | CRAIG FISCHER, MD MEDICAL CORPORATION
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 08/06/2007
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Provider Practice Location Address
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Address Line | 2006 DWIGHT WAY STE 304
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City | BERKELEY
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State | CA
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Zip | 94704-2633
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Country | US
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Telephone | 510-843-2220
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Fax | 510-843-2227
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Provider Business Mailing Address
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Address Line | 2006 DWIGHT WAY STE 304
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City | BERKELEY
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State | CA
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Zip | 94704-2633
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Country | US
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Telephone | 510-843-2220
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Fax | 510-843-2227
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Authorized Official
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Title or Position | OWNER
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Name | DR. CRAIG FISCHER
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Credential | M.D.
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Telephone | 510-843-2220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G025733
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License Number State | CA
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