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NPI 1689196701

NPI 1689196701 : LISA FISCHER RPH : BEEVILLE, TX

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General NPI Number Information
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    NPI Number           |    1689196701
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    Entity Type          |    Individual 
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    Provider Name        |    LISA FISCHER RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/11/2017
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    Last Update Date     |    06/26/2019
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Provider Practice Location Address
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    Address Line         |    100 E HOUSTON ST 
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    City                 |    BEEVILLE
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    State                |    TX
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    Zip                  |    78102
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    Country              |    US
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    Telephone            |    361-358-3737
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    100 E HOUSTON ST 
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    City                 |    BEEVILLE
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    State                |    TX
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    Zip                  |    78102-5613
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    Country              |    US
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    Telephone            |    361-358-3737
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    60681
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    License Number State |    TX
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