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General NPI Number Information
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NPI Number | 1689794240
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Entity Type | Organization
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Legal Business Name | MICHAEL E. FISCHER, M.D., INC.
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 900 S ATLANTIC BLVD RADIOLOGY DEPARTMENT
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City | MONTEREY PARK
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State | CA
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Zip | 91754-4716
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Country | US
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Telephone | 626-570-5785
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 17959
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City | LOS ANGELES
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State | CA
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Zip | 90017-0959
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Country | US
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Telephone | 213-481-0592
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Fax | 213-481-0108
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Authorized Official
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Title or Position | MANAGER
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Name | THOMAS PETRIELLA
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Credential |
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Telephone | 213-481-0592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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