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NPI 1720706195

NPI 1720706195 : TZVI FISCHER BCBA : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1720706195
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    Entity Type          |    Individual 
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    Provider Name        |    TZVI FISCHER BCBA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/22/2022
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    Last Update Date     |    12/15/2024
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Provider Practice Location Address
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    Address Line         |    2501 SMITH AVE 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21209-2505
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    Country              |    US
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    Telephone            |    410-449-5953
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2802 DAMASCUS CT APT D 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21209-3027
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    Country              |    US
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    Telephone            |    203-982-5341
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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        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    1-24-77324
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    License Number State |    MD
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