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General NPI Number Information
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NPI Number | 1619932894
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Entity Type | Individual
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Provider Name | PAUL D FISHER MD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 1468 MADISON AVE
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City | NEW YORK
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State | NY
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Zip | 10029-6508
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Country | US
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Telephone | 212-241-9870
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Fax |
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Provider Business Mailing Address
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Address Line | MOUNT SINAI DEPARTMENT OF RADIOLOGY 1 GUSTAVE L LEVY PLACE
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 212-241-8333
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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 | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | DR.0071499
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | 315370
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | ME82697
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License Number State | FL
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