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General NPI Number Information
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NPI Number | 1710052162
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Entity Type | Individual
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Provider Name | CAROL ANN FISCHER DC
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 10950 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48150-2753
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Country | US
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Telephone | 734-664-0339
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Fax | 734-261-9172
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Provider Business Mailing Address
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Address Line | 29748 MARK LN
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City | LIVONIA
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State | MI
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Zip | 48152-4506
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Country | US
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Telephone | 734-890-1082
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Fax | 734-261-9172
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301008361
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License Number State | MI
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