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General NPI Number Information
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NPI Number | 1740278084
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Entity Type | Individual
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Provider Name | KUHIA LOREN FISHER MD
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Gender | Male
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 11/15/2021
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Provider Practice Location Address
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Address Line | 1512 12TH AVE RD
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City | NAMPA
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State | ID
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Zip | 83653-1517
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Country | US
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Telephone | 208-461-2883
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Fax | 208-461-2953
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Provider Business Mailing Address
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Address Line | PO BOX 1517
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City | NAMPA
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State | ID
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Zip | 83653-1517
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Country | US
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Telephone | 208-461-2883
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Fax | 208-461-2953
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 5876867-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | M8298
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License Number State | ID
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