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General NPI Number Information
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NPI Number | 1710047485
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Entity Type | Organization
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Legal Business Name | FISCHER CHIROPRACTOR CENTER, A PROFESSIONAL ASSOCIATION
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 04/06/2010
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Provider Practice Location Address
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Address Line | 320 WHITE HORSE AVE
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City | TRENTON
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State | NJ
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Zip | 08610-1412
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Country | US
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Telephone | 609-585-9222
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Fax | 609-581-8097
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Provider Business Mailing Address
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Address Line | 320 WHITE HORSE AVE
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City | TRENTON
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State | NJ
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Zip | 08610-1412
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Country | US
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Telephone | 609-585-9222
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Fax | 609-581-8097
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Authorized Official
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Title or Position | CHIROPRACTIC
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Name | PAUL M FISCHER
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Credential | D.C.
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Telephone | 609-585-9222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 01246
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License Number State | NJ
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