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General NPI Number Information
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NPI Number | 1740221357
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Entity Type | Organization
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Legal Business Name | MARJEANNE R FISHER
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 765 BEISSINGER RD
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City | HAMILTON
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State | OH
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Zip | 45013-9762
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Country | US
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Telephone | 513-867-1184
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Fax |
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Provider Business Mailing Address
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Address Line | 4406 HUSTON RD
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City | HAMILTON
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State | OH
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Zip | 45013-9762
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Country | US
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Telephone | 513-867-1184
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARJEANNE ROSE FISHER
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Credential |
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Telephone | 513-867-1184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | RN137249
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License Number State | OH
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